Recovering from Fibula Nail Surgery: Weight Bearing and Walking Concerns - Orthopedics

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Fibula intramedullary nailing


Is it too short to use a cane for weight-bearing walking for just one week? Currently, I hardly use the cane at home, but I still feel a bit fearful, so I tend to walk a bit awkwardly.
I also have a long metal rod (inserted in the tibia and fibula) still inside, and I hear a clicking sound when I walk.
Is that normal? Thank you, doctor.

Zhu, 10~19 year old female. Ask Date: 2015/09/29

Dr. Wang Shouji reply Orthopedics


Hello: Lower limb fractures require at least six to eight weeks of using crutches to prevent complications such as nonunion and malunion.
Thank you!

Reply Date: 2015/09/29

More Info


Recovering from fibula nail surgery can be a challenging process, especially when it comes to weight-bearing and walking. It's understandable to have concerns about the timeline for using crutches and the sounds you may hear while walking. Let's break down your questions and provide some insights based on medical knowledge.

Firstly, regarding the use of crutches and weight-bearing, it's common for patients to be advised to use crutches for a certain period post-surgery. The duration can vary based on the type of fracture, the surgical technique used, and the individual’s healing progress. Generally, a week of using crutches may seem short, but if your surgeon has assessed your condition and given you the green light to start bearing weight, it’s essential to follow their guidance. However, if you feel uncomfortable or fearful about walking without crutches, it’s perfectly reasonable to continue using them until you feel more confident. Gradually increasing your weight-bearing activities while using crutches can help you build strength and stability.

It's also important to listen to your body. If you experience pain, instability, or discomfort while walking, it may be a sign that you need to take it slower. Rehabilitation exercises, as prescribed by your physical therapist, can help strengthen the muscles around your ankle and improve your overall balance and coordination. These exercises are crucial for a successful recovery and can help alleviate fears associated with walking.

As for the "clicking" or "popping" sounds you hear while walking, this can be quite common after surgeries involving the insertion of hardware like nails or screws. These sounds may occur due to the movement of the hardware within the bone or the surrounding soft tissues. In many cases, this is not a cause for concern, especially if you are not experiencing significant pain or swelling. However, if the sounds are accompanied by pain, swelling, or any other unusual symptoms, it would be wise to consult your surgeon for further evaluation.

In terms of long-term recovery, it’s essential to maintain a consistent rehabilitation routine. This includes not only physical therapy but also adhering to any prescribed home exercises. Staying active, within the limits set by your healthcare provider, can promote healing and help you regain strength and mobility.
Lastly, keep in mind that recovery timelines can vary significantly from person to person. Factors such as age, overall health, and adherence to rehabilitation protocols can all influence how quickly you heal. Regular follow-ups with your orthopedic surgeon will help monitor your progress and address any concerns you may have.

In summary, while a week of using crutches may be appropriate for some, it's crucial to prioritize your comfort and confidence in walking. The clicking sounds you hear may be normal, but always consult your healthcare provider if you have concerns. Focus on your rehabilitation exercises, and don't hesitate to reach out for support as you navigate your recovery journey. Your health and safety should always come first.

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