Post-Surgery Care for Femur Tumor: Activity Levels and Swelling Management - Orthopedics

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Femoral fracture surgery?


Hello Dr.
Lee: My father was found to have a suspected tumor in his femur during a previous health check.
He underwent surgery in mid-May to remove the bone and had a steel rod inserted.
However, until now, the doctor has not provided us with the definitive test results, only indicating that it is likely a benign tumor.
My father is currently resting at home, and I would like to ask you whether he should reduce his walking and standing, or if he should be more active.
Additionally, the sole of the foot on the operated leg has been swollen and has a purplish-black appearance, resembling edema.
Is this a normal condition? What methods can be used to reduce the swelling? Thank you.

Xiao Lu, 20~29 year old female. Ask Date: 2009/06/25

Dr. Li Wenlin reply Orthopedics


Hello: Regarding the medical condition, it is best to consult your father's attending physician.
If a tumor is suspected, a pathological examination will definitely be conducted during the surgery.
Please take the opportunity during follow-up visits to ask questions thoroughly, as it is important for you to fully understand your father's condition.
If there is swelling in the foot, it is recommended to elevate the affected limb and perform active foot exercises.
If the swelling persists, you should return to consult the attending physician.
Maintaining good communication with the attending physician is essential for achieving the best treatment outcomes.
Wishing your father a speedy recovery!

Reply Date: 2009/06/25

More Info


Dear [Patient's Name],
Thank you for reaching out with your concerns regarding your father's post-surgery care following his femur tumor removal. It's understandable to have questions about activity levels and swelling management during the recovery process, especially after such a significant procedure.


Activity Levels Post-Surgery
After surgery for a femur tumor, it is crucial to strike a balance between rest and activity. Initially, your father should prioritize rest to allow his body to heal. However, complete immobility can lead to complications such as muscle atrophy, joint stiffness, and even blood clots. Therefore, gentle movement is encouraged as tolerated.
1. Gradual Increase in Activity: Encourage your father to engage in light activities, such as short walks around the house, as soon as he feels comfortable. This can help improve circulation and prevent complications. However, he should avoid putting too much weight on the affected leg until cleared by his healthcare provider.

2. Physical Therapy: If not already arranged, consider discussing with his doctor the possibility of physical therapy. A physical therapist can provide tailored exercises that promote healing while ensuring safety.

3. Listening to His Body: It's essential that your father listens to his body. If he experiences pain or discomfort while moving, he should stop and rest.

Swelling Management
Swelling, especially in the leg following surgery, is common and can be attributed to several factors, including inflammation, fluid accumulation, and the body’s natural healing response. The purple discoloration you mentioned may indicate bruising, which is also typical after surgery. Here are some strategies to manage swelling:
1. Elevation: Encourage your father to keep his leg elevated above heart level when resting. This can help reduce swelling by promoting venous return and decreasing fluid accumulation in the lower extremities.

2. Compression: If recommended by his healthcare provider, using compression stockings or bandages can help manage swelling and provide support to the leg.

3. Cold Therapy: Applying ice packs to the swollen area for 15-20 minutes several times a day can help reduce inflammation and numb the area, providing relief.

4. Hydration and Diet: Ensure your father stays well-hydrated, as adequate fluid intake can help reduce swelling. A balanced diet rich in fruits, vegetables, and lean proteins can also support healing.

5. Monitoring Symptoms: Keep an eye on the swelling and any changes in color or temperature of the skin. If the swelling worsens or if he experiences increased pain, redness, or fever, it is crucial to contact his healthcare provider immediately, as these could be signs of complications such as infection or deep vein thrombosis.


Follow-Up Care
Regular follow-up appointments with his healthcare provider are essential to monitor his recovery progress and address any concerns. If the doctor has not yet provided the pathology results, it is reasonable to request this information, as understanding the nature of the tumor can guide further treatment and monitoring.

In summary, while it is important for your father to rest and allow his body to heal, gentle movement and proper swelling management are equally vital. Encourage him to engage in light activities as tolerated, elevate his leg, and monitor for any concerning symptoms. Always consult with his healthcare provider for personalized advice and recommendations.

Wishing your father a smooth recovery.

Best regards,
Doctor Q&A Teams

[Your Contact Information]

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