Issues with Cane Usage and Plate Deformation
Hello Dr.
Chang, I had a follow-up appointment with the orthopedic doctor yesterday, and after taking an X-ray, the doctor said that the bone has not started to heal yet.
I need to use crutches until the bone grows back.
Currently, I am using a square-shaped crutch, but there are some narrow areas where I cannot fit it.
I am considering switching to a single crutch.
Will using a single crutch cause the metal rod to deform? Will it affect bone growth?
amy, 40~49 year old female. Ask Date: 2012/04/17
Dr. Zhang Jiahao reply Orthopedics
Hello: Excessive weight-bearing before the bone has healed can indeed cause the plate to deform.
If a "quadripod cane" is inconvenient, you can switch to a pair of crutches instead of a single crutch.
As for how much weight can be borne, it depends on the location and the degree of bone healing.
Thank you!
Reply Date: 2012/04/17
More Info
Using crutches after a fracture is a common concern, especially regarding the potential impact on bone healing and growth. It's understandable to have questions about whether switching from a standard crutch to a single crutch could affect the healing process or lead to any deformities in the bone.
Firstly, it's important to recognize that the primary purpose of crutches is to offload weight from the injured limb, allowing the bone to heal properly. When a fracture occurs, the body initiates a healing process that involves inflammation, bone formation, and remodeling. This process can take several weeks to months, depending on the severity of the fracture and the individual's overall health.
Regarding your specific question about using a single crutch instead of a standard crutch: using a single crutch can be a practical solution in tight spaces where a standard crutch may not fit. However, it’s crucial to ensure that you are using the crutch correctly to maintain balance and avoid putting undue stress on the healing bone. A single crutch can provide adequate support if used properly, but it may require more upper body strength and balance than using two crutches.
As for concerns about bone deformation, the risk of deformity primarily arises from improper weight-bearing during the healing process. If you are using the crutch correctly and following your physician's advice regarding weight-bearing restrictions, switching to a single crutch should not inherently cause deformities in the bone. However, if you start to put weight on the injured leg prematurely or if your balance is compromised, there could be a risk of misalignment or improper healing.
Bone growth is influenced by several factors, including the type of fracture, the age of the individual, nutritional status, and adherence to rehabilitation protocols. If your doctor has advised you to continue using crutches until the bone has healed, it is essential to follow that guidance closely. Using a single crutch should not affect the biological process of bone healing as long as you are not placing weight on the injured leg until cleared by your healthcare provider.
In summary, switching to a single crutch can be acceptable as long as you maintain proper technique and do not place weight on the injured limb. It is always best to consult with your orthopedic surgeon or physical therapist before making changes to your mobility aids. They can provide personalized advice based on your specific situation and ensure that you are on the right path to recovery. Additionally, if you experience any unusual pain or discomfort while using a single crutch, it is advisable to seek medical attention promptly to rule out any complications.
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