Why Is My Ankle Still Swollen Two Months After Fracture Surgery? - Orthopedics

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After undergoing fracture surgery, it is common for patients to experience swelling in the affected area, even two months post-operation. This swelling can be attributed to several factors, and understanding them can help alleviate concerns and guide recovery.

Firstly, it is important to recognize that swelling is a natural part of the healing process. When a bone is fractured, the body initiates an inflammatory response to begin the healing process. This response includes increased blood flow and the accumulation of fluids in the area, which can lead to swelling. This is particularly true in the case of ankle fractures, where the surrounding soft tissues may also be affected. The swelling can persist for several weeks or even months, depending on the severity of the injury and the individual’s healing response.

In your case, the fact that you had surgery on August 11 to remove the bone screws from your ankle may also contribute to the ongoing swelling. Surgical interventions can cause additional trauma to the tissues, leading to inflammation and swelling. The absence of a drainage tube during the initial surgery could mean that some fluid accumulation occurred, which might not have been fully resolved by the time of your follow-up appointment. However, it is also important to note that the body typically reabsorbs excess fluid over time.

Another factor to consider is the use of crutches. When you are using crutches, you may be placing uneven weight on your legs, which can lead to additional strain on the ankle and surrounding tissues. This can exacerbate swelling and discomfort, particularly in the heel area, as you described. It is crucial to ensure that you are using your crutches correctly and not putting too much weight on the affected leg until you are cleared to do so by your physician.

Additionally, the position of your leg can influence swelling. Keeping your leg elevated can help reduce swelling, as gravity assists in fluid drainage. If you find that your ankle swells more when you are sitting or standing for extended periods, try to elevate your leg whenever possible, especially during rest.

In terms of recovery, it is essential to follow your physician's recommendations regarding activity levels and rehabilitation exercises. Engaging in gentle range-of-motion exercises can help improve circulation and reduce swelling. However, be cautious not to overexert yourself, as this can lead to increased pain and swelling.

If the swelling persists or worsens, or if you experience significant pain, it is advisable to consult your physician. They may want to perform imaging studies, such as an X-ray, to assess the healing progress of the fracture and rule out any complications, such as infection or improper healing.

In summary, swelling two months after fracture surgery is not uncommon and can result from the body's natural healing process, surgical trauma, and activity levels. By managing your activity, elevating your leg, and following your physician's guidance, you can support your recovery and reduce swelling over time. If you have ongoing concerns, do not hesitate to reach out to your healthcare provider for further evaluation and advice.