Recovery Timeline and Rehabilitation After Femur Fracture for Athletes - Orthopedics

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Femoral fracture


Hello, Doctor: I am a long jumper, and I suffered a thigh fracture due to an accident.
The leg with the fracture has previously undergone anterior cruciate ligament (ACL) surgery.
I would like to ask how long it will take for rehabilitation after the removal of the stainless steel fixation in my thigh.
How long will it take for me to return to the field? What tests can be done to accurately assess the condition of my ligament (the doctor who treated my fracture mentioned that my ligament is likely fine)? However, I am a bit anxious.

Lin Xiansheng, 20~29 year old female. Ask Date: 2016/03/04

Dr. Hong Ximing reply Orthopedics


After a femoral fracture surgery, healing and rehabilitation typically require at least 3 to 6 months.
Removal of plates or screws usually occurs about a year and a half after healing.
Returning to the field should be done according to one's capabilities.

Reply Date: 2016/03/04

More Info


Recovering from a femur fracture, especially for an athlete like yourself, involves a carefully structured rehabilitation plan. Given your history of anterior cruciate ligament (ACL) surgery, it’s essential to approach your recovery with caution to ensure both the fracture and the integrity of your knee ligaments are adequately addressed.


Recovery Timeline
1. Initial Healing Phase (0-6 weeks post-surgery):
- During this period, your primary focus will be on healing the fracture. You will likely be in a brace or using crutches to avoid weight-bearing on the affected leg.
- Pain management and swelling control are crucial. Physical therapy may begin with gentle range-of-motion exercises to maintain mobility in your knee and hip joints.

2. Intermediate Phase (6-12 weeks post-surgery):
- Once your doctor confirms that the fracture is healing well (usually through X-rays), you may gradually start weight-bearing activities.
- Rehabilitation will focus on strengthening exercises for the muscles around the knee and hip, as well as proprioceptive training to improve balance and coordination.
- You might be able to start low-impact activities such as swimming or cycling, depending on your pain levels and the advice of your physical therapist.

3. Advanced Rehabilitation Phase (3-6 months post-surgery):
- As you progress, your physical therapist will introduce more dynamic exercises, including agility drills and sport-specific movements.
- The goal during this phase is to restore strength, flexibility, and functional movement patterns.
- You may also begin to incorporate plyometric exercises, which are essential for a jump athlete like yourself.

4. Return to Sport (6-12 months post-surgery):
- The timeline for returning to competitive jumping can vary significantly based on individual healing rates and rehabilitation progress.
- Generally, athletes can expect to return to their sport within 6 to 12 months post-fracture, provided they have regained full strength, range of motion, and confidence in their ability to perform without pain.


Rehabilitation Considerations
- Monitoring Ligament Health: Given your previous ACL surgery, it’s crucial to monitor the condition of your ligaments throughout your recovery. Regular assessments by your orthopedic surgeon or a sports medicine specialist can help ensure that your knee remains stable and functional.
- Diagnostic Tests: If there are concerns about your ligament integrity, your doctor may recommend imaging studies such as an MRI to evaluate the condition of the ACL and other ligaments.

- Psychological Readiness: Mental readiness is as important as physical readiness. Engaging in mental conditioning and visualization techniques can help you regain confidence in your movements and reduce anxiety about returning to sport.


Final Thoughts
It's understandable to feel apprehensive about your recovery, especially given your athletic background and previous injuries. Open communication with your healthcare team, including your orthopedic surgeon and physical therapist, is vital. They can provide personalized guidance and adjust your rehabilitation plan based on your progress.

Remember, every athlete's recovery journey is unique, and patience is key. Focus on gradual improvements and celebrate small milestones along the way. With dedication and the right support, you can return to jumping and competing at your best.

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