"踩地"的意思是指用腳踩在地面上,通常用來形
Hello Dr.
Hong, I have a knee fracture from a car accident, but I did not undergo surgery; I only had the laceration on my knee sutured.
After being discharged, I was wearing a type of plastic shell (similar to a cast).
After two weeks, I returned for a follow-up appointment and had the stitches removed.
The doctor told me that I could put weight on my leg, but my knee should remain straight and not bent.
I am still wearing the plastic shell, but does being able to put weight on it mean that I can walk normally without using crutches? I am very worried that if I walk without crutches, my bones might misalign.
Jiang Tongxue, 10~19 year old female. Ask Date: 2014/03/12
Dr. Hong Ximing reply Orthopedics
A knee fracture that does not require surgery is likely non-displaced and can be treated with a fiberglass cast for immobilization.
Once the sutures are removed and weight-bearing is permitted, it indicates that you can support your weight, but it is advisable to use crutches for balance.
After the fracture heals, rehabilitation therapy will be necessary.
Wishing you a speedy recovery.
Reply Date: 2014/03/12
More Info
After a knee injury, particularly one involving a fracture, understanding weight-bearing status is crucial for recovery. In your case, since you have a knee injury from a car accident and have undergone suturing for a laceration without surgical intervention for the fracture, the guidance from your physician is essential.
When your doctor advises that you can "bear weight" on your knee, it typically means that you can place your foot on the ground and use it to support some of your body weight. However, this does not necessarily mean that you should walk normally or without assistance right away. The recommendation to keep your knee straight while bearing weight is likely to protect the healing tissues and ensure that the knee joint remains stable during the initial recovery phase.
It's understandable to be concerned about the potential for your bone to misalign or "go crooked" if you do not use crutches. However, if your doctor has assessed your injury and given you the green light to bear weight, it usually indicates that they believe your knee can handle some load without risking further injury. That said, it is important to listen to your body. If you experience pain, instability, or discomfort while bearing weight, it may be wise to revert to using crutches or a walker until you feel more secure.
The use of a plastic shell or brace is likely intended to provide additional support and protection to your knee as it heals. This type of immobilization can help prevent excessive movement that could disrupt the healing process. As you progress, your doctor may provide further instructions on how to gradually increase your activity level, including bending your knee and engaging in physical therapy exercises to restore range of motion and strength.
In terms of recovery, it is essential to follow a gradual progression. Initially, you may only be able to bear weight while keeping your knee straight. As your healing progresses and you regain strength and confidence, you will likely be encouraged to start bending your knee and increasing your mobility. This process can take time, and patience is key.
Physical therapy can be an invaluable part of your recovery. A physical therapist can guide you through exercises that will help strengthen the muscles around your knee, improve flexibility, and enhance your overall function. They can also provide you with strategies to safely transition from using crutches to walking independently.
In summary, while your doctor has indicated that you can bear weight on your knee, it is crucial to do so cautiously and in accordance with their instructions. If you have any doubts or concerns about your recovery, do not hesitate to reach out to your healthcare provider for clarification or further guidance. Recovery from a knee injury is a process, and taking the right steps now will help ensure a better outcome in the long run.
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