Fibula Fractures: Healing Time and Recovery Concerns - Orthopedics

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Fibular fracture


Hello Doctor: I was in a car accident on May 23, and an X-ray confirmed a fibula fracture.
I do not require surgery and have been placed in a cast.
How long does the cast need to stay on before it can be removed? Additionally, during my follow-up appointment on June 8, another X-ray was taken, and the doctor mentioned that the bone was not displaced and to return in two weeks.
However, I feel that the X-ray looks no different from the one taken two weeks ago.
Does this mean my recovery is not progressing well?

Jill, 30~39 year old female. Ask Date: 2015/06/09

Dr. Chen Yanming reply Orthopedics


Hello: Since I don't have your X-ray, I can only provide a remote consultation and hope to address your concerns.
Generally speaking, if a fibula fracture is stable and there is no significant displacement, surgery may not be necessary, and it can be treated with a cast for 4-6 weeks, with outpatient follow-up X-rays.
We will monitor for any displacement of the fracture and the formation of callus.
The first X-ray at the 2-week follow-up will primarily assess whether the fracture has shifted after casting; at this point, callus formation should not yet be visible.
By your next appointment, you should be able to see the formation of callus.
Finally, initial healing of the fracture typically takes at least 3-6 months.
I hope you have a smooth recovery.
Thank you for your understanding.

Reply Date: 2015/06/09

More Info


Fibula fractures, especially those that are non-displaced and treated conservatively with a cast, generally have a favorable prognosis. The healing time for a fibula fracture can vary based on several factors, including the patient's age, overall health, and the specific nature of the fracture. Typically, a fibula fracture can take anywhere from 6 to 8 weeks to heal adequately, but this can vary.
In your case, since you mentioned that your fibula fracture was diagnosed as a non-displaced fracture and you are currently in a cast, the standard recommendation is to keep the cast on for about 4 to 6 weeks. After this period, your doctor will likely perform another X-ray to assess the healing progress. If the bone shows signs of healing and there is no displacement, the cast may be removed, and you may begin rehabilitation exercises to regain strength and mobility.

Regarding your concern about the X-ray results showing no significant change from two weeks prior, it is essential to understand that bone healing can sometimes be slow, especially in the early stages. It is not uncommon for some fractures to appear unchanged on X-rays for a few weeks, particularly if they are non-displaced. The healing process involves the formation of new bone, which may not be immediately visible on imaging. Your doctor may have a better understanding of your healing process based on clinical evaluations, including your symptoms and physical examination findings.

If you are feeling anxious about your recovery, it is crucial to communicate this with your healthcare provider. They can provide reassurance and may offer additional imaging or assessments if deemed necessary. It is also important to follow your doctor's advice regarding weight-bearing activities and rehabilitation exercises, as these will play a significant role in your recovery.

In terms of recovery concerns, it is essential to monitor for any signs of complications, such as increased pain, swelling, or changes in sensation in the affected limb. If you experience any of these symptoms, you should contact your healthcare provider promptly.

In summary, while the healing time for a fibula fracture can vary, it is generally expected to take several weeks. Regular follow-up appointments and X-rays will help monitor your progress. If you have concerns about your recovery or the healing process, do not hesitate to discuss them with your doctor, as they can provide personalized guidance based on your specific situation.

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