Post-operative issues following left ankle fracture surgery?
Hello Dr.
Hong, I apologize for bothering you with some questions.
I had a car accident on February 4th, and the doctor diagnosed me with a closed fracture of the left ankle.
I underwent surgery that night, and I returned for a follow-up appointment on February 18th to have the stitches removed.
My foot is still quite swollen, and the doctor mentioned that the swelling would subside once I started walking.
However, on February 20th, my foot is still swollen, and the top of my foot appears to have a slightly darker color and feels warm to the touch.
Is this a normal phenomenon? I have attached a photo for your reference: https://www.flickr.com/photos/139614152@N06/albums/72157664332788190/with/25042559802/.
Additionally, while walking, my crutch slipped on the marble floor, and I accidentally put more weight on the front part of my left foot.
Could this have caused any issues? Thank you for your assistance!
Xiao Chen, 20~29 year old female. Ask Date: 2016/02/21
Dr. Hong Ximing reply Orthopedics
Two weeks after ankle fracture surgery, the foot may still be swollen.
If the wound has healed, warm water therapy can be considered to aid circulation and absorption.
Additionally, elevating the affected limb can help increase blood return, and regular follow-up appointments are necessary.
Reply Date: 2016/02/21
More Info
After undergoing surgery for a left ankle fracture, it's common to have several concerns regarding recovery, swelling, and potential complications. Let's address your questions and provide some insights based on medical knowledge.
Firstly, regarding the swelling and discoloration of your ankle, it's important to understand that post-surgical swelling is a normal part of the healing process. After an ankle fracture, especially one that requires surgical intervention, the body responds with inflammation, which can lead to swelling. The fact that your ankle was still swollen two weeks post-surgery is not unusual. However, the deep color and warmth you mentioned could indicate increased blood flow to the area, which is also a typical response to injury and surgery.
That said, you should monitor these symptoms closely. If the swelling does not improve over time, or if you notice increased redness, warmth, or pain, it could be a sign of complications such as infection or deep vein thrombosis (DVT). Infections can occur post-surgery, and while they are not common, they can happen, especially if the surgical site was exposed to bacteria. DVT is another concern, particularly if you have been immobile for extended periods. Signs of DVT include swelling, pain, and discoloration of the leg, and it requires immediate medical attention.
Regarding your concern about the incident where your crutch slipped and you put more weight on your injured ankle, it's essential to be cautious during your recovery. While a single incident of increased weight-bearing may not necessarily cause significant harm, it can potentially disrupt the healing process if it leads to excessive strain on the fracture site. If you experience increased pain, swelling, or any unusual symptoms after this incident, it would be wise to consult your physician. They may recommend imaging studies, such as an X-ray, to ensure that the fracture remains stable and has not shifted.
In terms of what to expect moving forward, recovery from an ankle fracture can vary significantly from person to person. Generally, you can expect to gradually increase your weight-bearing activities as tolerated, but this should be guided by your healthcare provider. Physical therapy is often recommended to help regain strength and mobility in the ankle.
It's also important to follow your doctor's advice regarding activity levels and the use of assistive devices like crutches. As you progress, you may be encouraged to perform specific exercises to improve range of motion and strength, which can help reduce swelling and promote healing.
In summary, while some swelling and discoloration are normal after ankle surgery, you should remain vigilant for signs of complications. If you have any concerns about your recovery or experience any new symptoms, do not hesitate to reach out to your healthcare provider. They can provide personalized advice and ensure that your recovery is on track. Wishing you a smooth and speedy recovery!
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