Knee Flexion After Thigh Fracture Surgery: What to Expect - Orthopedics

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After undergoing thigh fracture surgery, it's common to have concerns about knee flexion and the overall recovery process. Your situation, where you had a locked plate and screws placed during surgery, is not uncommon, and many patients experience similar challenges. Let’s break down your questions and concerns regarding knee flexion after such a procedure.

Firstly, it is normal for your knee to remain swollen for some time after surgery. Swelling can persist for several weeks, especially after being immobilized in a cast for two months. The body’s natural healing process involves inflammation, which can lead to swelling. This swelling can also contribute to stiffness and discomfort when attempting to bend your knee.
Regarding your question about whether you should forcefully bend your knee, it is essential to approach this with caution. While it is important to regain range of motion, forcing the knee to bend can lead to further complications, including pain and potential damage to the healing tissues. Instead, gentle and gradual movements are recommended. You can try passive range of motion exercises, where you use your hands to assist in bending your knee without applying too much pressure.
If your doctor has advised you to attempt bending your knee while in bed, you should do so within a pain-free range. Start with small movements, and gradually increase the angle as tolerated. If you experience significant pain, it may be a sign that you are pushing too hard, and you should stop and consult your doctor or physical therapist for guidance.

In terms of stiffness, it is possible that the cast contributed to some degree of joint immobility. After prolonged immobilization, the muscles and connective tissues can become tight, leading to a sensation of stiffness. This is often referred to as "cast syndrome," where the muscles atrophy and the joint becomes less flexible. Engaging in physical therapy can be beneficial in this regard, as a trained therapist can provide you with specific exercises tailored to your recovery needs.

As for the timeline for recovery, it varies from person to person. Generally, after a thigh fracture surgery, patients can expect to see gradual improvement in knee flexion over the course of weeks to months. It is crucial to follow your surgeon's recommendations and attend all scheduled follow-up appointments to monitor your progress.
If you notice that the swelling does not improve or if you experience increased pain, it is essential to reach out to your healthcare provider. They may want to assess for any complications, such as infection or issues with the hardware used during surgery.

In summary, while some swelling and discomfort are normal after thigh fracture surgery, it is essential to approach knee flexion exercises with care. Focus on gentle movements, avoid forcing the knee, and consider working with a physical therapist to develop a safe and effective rehabilitation plan. With time, patience, and appropriate care, you should be able to regain your knee's range of motion and strength.