Recovery After Left Ankle Fracture Surgery: Key Questions Answered - Orthopedics

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Left ankle fracture?


Hello, Doctor: I underwent surgery for a left ankle fracture on April 7, and it has now been four weeks.
I would like to ask a few questions (as my follow-up appointment is still a few weeks away, I hope you can understand).

1.
At home, there are some areas where using crutches is not feasible, so I have been hopping on one foot.
Will this affect the bone screws and titanium alloy framework? Recently, I have felt a sensation of movement at the site of the screws when I jump, and I'm not sure if it's just my imagination.

2.
Is it possible to use a traditional Chinese medicine called Xíngjūn Sǎn to help expedite the removal of bruising? I have heard that Xíngjūn Sǎn can increase blood flow, but I am concerned about potential side effects.

3.
How long will it take for me to walk normally again? I am worried that if I rest for too long, my boss will send me home to take care of myself.
Is three months sufficient for me to be able to bear weight on my left foot?
4.
I still experience a tingling sensation at the surgical site, and sometimes I feel a pulsing sensation at the wound, which causes pain.
When can I expect this to subside?
5.
How long after surgery can I remove the adhesive dressing (I forgot the name!)? I really want to wash my foot.

I hope these questions do not cause you any inconvenience, and thank you, Doctor!

Vincent, 30~39 year old female. Ask Date: 2011/04/30

Dr. Luo Zhongwei reply Orthopedics


DEAR HSINGYEH: Your description is unclear; it's not specified whether it's the left foot or the right foot.
It is not advisable to jump on one foot as it may lead to falls.
Your primary care physician should have provided you with educational information regarding your issue, and you can consult them during your outpatient visit.
Thank you.

Reply Date: 2011/04/30

More Info


After undergoing surgery for a left ankle fracture, it is completely understandable to have concerns about recovery and rehabilitation. Here’s a comprehensive overview addressing your questions based on medical knowledge and practices.

1. Impact of Single-Leg Hopping on Hardware: Using a single-leg hopping technique to move around may not be advisable, especially in the early stages of recovery. This method can place undue stress on the surgical hardware, including screws and titanium plates. The sensation of movement or "shaking" at the site of the hardware could indicate that the surrounding tissues are not yet fully healed or that the hardware is being subjected to forces it is not designed to handle. It is crucial to follow your orthopedic surgeon's advice regarding weight-bearing activities and mobility aids. If you feel discomfort or unusual sensations, it’s best to consult your physician.

2. Using Traditional Remedies for Bruising: While some traditional remedies, like the herbal formula you mentioned, may be believed to promote blood circulation and reduce bruising, it is essential to approach this with caution. The efficacy and safety of such remedies can vary, and they may interact with medications or affect your healing process. It is advisable to discuss any herbal treatments with your healthcare provider before using them, especially post-surgery, to ensure they won’t interfere with your recovery.

3. Timeline for Normal Walking: The timeline for returning to normal walking after an ankle fracture can vary significantly based on the severity of the fracture, the type of surgical intervention, and individual healing rates. Generally, many patients can begin to bear weight on the affected foot within 6 to 12 weeks post-surgery, depending on the fracture's stability and the surgeon's recommendations. By three months, many patients can transition to walking with minimal assistance, but this is highly individual. Regular follow-ups with your orthopedic surgeon will help assess your progress and readiness to resume normal activities.

4. Post-Surgical Pain and Sensations: Experiencing sharp pain or a pulsing sensation around the surgical site is not uncommon in the weeks following surgery. This discomfort can be attributed to nerve regeneration, inflammation, or the healing process itself. While some pain should gradually decrease over time, persistent or worsening pain should be reported to your doctor. They may recommend pain management strategies or further evaluation to rule out complications.

5. Removing Dressings: The timing for removing post-operative dressings can vary based on the surgical technique and the surgeon's protocol. Typically, dressings are changed or removed within 1 to 2 weeks after surgery, but this can depend on the healing progress and the type of dressing used. If you are eager to wash your foot, discuss this with your healthcare provider during your next appointment. They will provide guidance on when it is safe to remove the dressing and how to care for the incision site.

In summary, recovery from an ankle fracture involves careful monitoring and adherence to your surgeon's guidelines. It is essential to communicate openly with your healthcare team about any concerns or symptoms you experience during your recovery. They can provide tailored advice and adjustments to your rehabilitation plan to ensure the best possible outcome. Remember, patience is key in the healing process, and prioritizing your recovery will help you return to your normal activities safely.

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