How Long Until I Can Walk Without Crutches After Femur Fracture?

How long after a femoral fracture in the left thigh with a metal rod can one stop using crutches?

I am currently 19 years old and had a car accident on January 16 of this year, which resulted in a fractured left femur.
It was an open fracture, and I was taken to National Taiwan University Hospital for surgery, where they used self-funded intramedullary nailing for fixation.
During my last follow-up in February, the doctor said I could start practicing walking.
However, I am hesitant to put too much weight on my left leg for fear that walking too early might cause the nail to deform and require another surgery.
I would like to know, in general, how long it typically takes to walk without crutches.
The surgeon who performed my operation mentioned that the fracture was well-aligned and that the healing process should be good, as the X-rays show a significant gap between the two bone ends, with the fracture occurring in the middle section.
I still feel a bit anxious about it.
I have been diligently working on bending my knee and have managed to bend it to the maximum extent.
However, I am still somewhat apprehensive about applying weight.

19-Sui Shaonian, 10~19 year old female. Ask Date: 2016/03/08

Dr. Shi Guozheng reply Orthopedics

Approximately three to six months, but it depends on the quality of the surgical alignment at the fracture site and the status of bone healing.
If intramedullary nails are used for fixation, gentle weight-bearing may be allowed.

Reply Date: 2016/03/08

More Info

After a femur fracture, the timeline for walking without crutches can vary significantly based on several factors, including the severity of the fracture, the type of surgical intervention, and individual healing rates. In your case, since you are 19 years old and have undergone surgery for an open femur fracture, you are generally in a good position for recovery, as younger individuals typically heal faster than older adults.

From the information provided, it seems that your doctor has already advised you to start practicing walking, which is a positive sign. Generally, after a femur fracture, patients may begin to bear weight on the affected leg around 6 to 12 weeks post-surgery, depending on the stability of the fracture and the type of fixation used. Since you mentioned that your doctor noted the fracture was well-aligned and healing nicely, this could indicate a more favorable recovery trajectory.

Typically, the use of crutches is recommended until you can bear weight comfortably on the injured leg without pain. Many patients find that they can transition off crutches between 6 to 12 weeks after surgery, but this can vary. It is crucial to listen to your body and follow your doctor's advice closely. If you feel pain or discomfort while attempting to walk without crutches, it is essential to revert to using them until you feel more stable.

In terms of rehabilitation, it is vital to engage in physical therapy as recommended. Strengthening exercises for the muscles around the hip, knee, and ankle will help support your recovery and improve your overall mobility. Additionally, practicing range-of-motion exercises for your knee, as you mentioned you are already doing, is beneficial in preventing stiffness and promoting flexibility.

You should also be aware of the signs that may indicate you are pushing yourself too hard. If you experience increased pain, swelling, or any unusual sensations in your leg, it is essential to consult your healthcare provider. They may need to reassess your healing progress and adjust your rehabilitation plan accordingly.

In summary, while the general timeline for walking without crutches after a femur fracture can range from 6 to 12 weeks, your specific recovery will depend on your healing progress and the advice of your medical team. Continue to communicate openly with your doctor about your concerns and progress, and don't hesitate to seek guidance if you feel uncertain about your recovery. With diligence in your rehabilitation and adherence to medical advice, you should be able to transition to walking without crutches in the coming weeks.

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