How long does it take to walk after a fibula fracture?

How long does it take to walk after a fibula fracture?

It takes a long time for the human body to recover from a fracture, at least three weeks before you can slowly move around. At the beginning, because the bones are still growing in the fixation stage, try not to move at this time. Generally, after three weeks, you can try to move slowly with the help of others. The newly grown bones will be very fragile, so during this period, except for walking, do not do any strenuous exercise.

Preventive care Preventing direct or indirect violence can reduce the incidence of disease. If a fracture occurs, different complications should be actively prevented for different fracture sites to prevent ischemia, gangrene, and functional impairment.

After a fracture, in order to restore the weight-bearing function of the lower leg as soon as possible, the angular deformity, rotational displacement and limb shortening of the fracture must be completely corrected to avoid affecting the weight-bearing function of the knee and ankle joints. After fixation, the patient should be immediately instructed to perform ankle dorsiflexion and quadriceps contraction exercises. After 2 weeks of fixation of stable fractures, the patient should perform leg lifting and knee flexion activities under the guidance of a doctor. After 3 weeks, the patient can leave the bed and walk with crutches without weight bearing while the splint is still fixed. In the later stage, the patient can do muscle massage and cycling activities.

The diagnosis of the disease can usually be confirmed by combining clinical and X-ray manifestations, but fatigue tibia and fibula fractures sometimes need to be differentiated from osteoid osteoma and greenstick fractures, local bone infection, and early bone tumors.

1. Although osteoid osteoma has cortical thickening and periosteal reaction, it has a more typical tumor nest.

2. Greenstick fractures mostly occur in children with a clear history of trauma.

3. Local bone infection is mainly characterized by periosteal reaction and cortical thickening, without trabecular fracture and cortical notch sign, and the clinical epithelial temperature is relatively high.

4. Early bone tumors are mainly characterized by lace-like or onion-skin-like periosteal reactions, followed by gradual bone destruction, tumor bone and soft tissue masses.

Although fatigue fractures and the above-mentioned bone diseases have the same manifestations as local periosteal reaction, cortical bone thickening and sclerosis, they still have their own characteristics. As long as the X-ray characteristics and clinical history are grasped, a correct diagnosis of fatigue fractures can be made.

Examination methods: The auxiliary examination method for this disease mostly uses X-ray examination. Plain films show localized bone line breaks on the tibia and fibula, discontinuous bone cortex and notches, increased bone density and thickening and sclerosis of the periosteum can be found in basically all cases, rough and irregular arrangement of trabeculae, and fuzzy incomplete fracture lines can be seen. In severe cases, bone deformation and damage to the surrounding soft tissue can be seen.

For cases suspected of possible arterial injury, vascular color Doppler ultrasound examination should be performed promptly, because Doppler ultrasound vascular examination is a non-invasive examination method, can be performed at the bedside, is easy and quick to operate, and can clearly determine the blood flow speed and direction in the blood vessels of various parts. It can also provide a general understanding of the blood supply range of the limbs and the situation of vascular injury, which is of great significance for the timely formulation of emergency surgical plans.

For patients who still cannot be clearly diagnosed, DSA examination can be performed when necessary, but the clinical application of DSA examination still has many limitations. For example, it is an invasive examination method; the patient needs to be moved repeatedly, which is inconvenient and dangerous for patients with multiple injuries; it is time-consuming and may delay the opportunity for treatment.

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