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Suggest Treatment For Broken Distal Femur

Posted on Mon, 6 Oct 2014

Question: I got a annex from the doctor but it didn't sound right to me. I was wondering why I haven't had anything after a surgery like new MRI or blood work or alts sound out seeing if I have any picked MIRVed I'm still having pain and alot of issue they say it will take time I was noon bearing right foot 4 months. I'm very scared of car now I'm on anzity needed to help it does skittle but I get anzity attach where my nerves are so bad I can't do shaking.
Do you think I should have got ted hose when I left hospital or would you wait till 5 months after surgery when my leg was swollen at first time my accident was a got and run hit my car and run me into a concrete barrier. He day xray look like it healing but when do you go back to light duty to work or is a disability for life.

Answered by Dr. Saurabh Gupta (1 hour later)

Brief Answer:
check for bone union

Detailed Answer:
Hello,
Thanks for your query.

I can understand your anxiety. In my opinion, You should first go for a x-ray of the distal femur to see whether bone is uniting or not.

Persistent pain could be due to delayed healing or the infection in the area. Swelling in leg and foot could be due to decreased venous drainage caused by decreased muscle activity or an inflammatory swelling.

There is feature to upload the images and x-rays. If you wish you can upload these so that I can help you in better ways.

I do hope that you have found something helpful and I will be glad to answer any further query.

Take care

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Saurabh Gupta (16 hours later)

Please answer is it not something a doctor ordered from hospital is ted hose?

Answered by Dr. Saurabh Gupta (18 hours later)

Brief Answer:
Fracture seems to be in healing stage.

Detailed Answer:
Hi,

I have gone through the x-ray and photos attached. Fracture seems to be in healing stage.
For swelling in leg, keep your leg elevated over two pillows and use a compression stocking. Do regular exercise for proper venous drainage.

Wishing you speedy recovery..

Warm regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Saurabh Gupta (58 minutes later)

I do elevate and have regular therapy. Doing everything I can buy alot of parts of body are still hurting. He only ordered ted hose for one leg and only knee high. you still didn't reply if this shouldn't have been order in hospital. I would like that answer ed. how long does it take for full total recovery? And do you halt have limits or disabititys from this kind of tramua?

Answered by Dr. Saurabh Gupta (24 hours later)

Brief Answer:
Usually takes 6-7 month for full recovery.

Detailed Answer:
Hi,

If there is no swelling after surgery, then it is not necessary to order a ted hose in hospital.

It usually takes 6-7 month for full recovery.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Saurabh Gupta (30 hours later)

6 to 7 months full recovery. in in 6 month and don't walk im 50 % and still need alot of strength training and therapy I'm in wheelchair and use walker the doctor is talking to me like it is more like a year and then I still have alot of pain and the doctor said i will need 2 knees replacement in the future of my life.

Answered by Dr. Saurabh Gupta (7 hours later)

Brief Answer:
Continue doing physiotherapy.

Detailed Answer:
Hi,

Normally with this type of fracture after operation ,it takes 6-7 month for full recovery. Your case seems to be little bit more complicated, so it might take more time.

Continue range of motion and strengthening exercise under guidance of your physiotherapist. It will also decrease the swelling and associated pain.

As the fracture had involve the joint, there is possibility of osteoarthritis and hence replacement of the knee in the future.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Saurabh Gupta (4 hours later)

Still hasn't completely healed this is my 6 month checkup with alot more therapy to go. Will this tour of injury cause me problems in the future?

Answered by Dr. Saurabh Gupta (6 hours later)

Brief Answer:
Might cause osteoarthritis in future.

Detailed Answer:
Hi,

This injury might cause osteoarthritis in future. Continue physiotherapy to regain the strength.

Wishing you speedy recovery...

warm regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Saurabh Gupta (16 hours later)

When do you think a person in my condition can go v can go back to light duty I sent report of last fxray with dents in thigh foot.I can't sleep at night then on some days I sleep for 2 days straight.And how long do you think it will be before knee replacement with the arthritis building up

Answered by Dr. Saurabh Gupta (5 hours later)

Brief Answer:
Can go to light duty after 2 -3 month.

Detailed Answer:
Hi,

I have gone through your recent x-ray . I think you can go to light duty after 2 -3 month.

You might require knee replacement after 10-15 years.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Saurabh Gupta (20 minutes later)

Did you see healing in xray? It's not healed completely. strange you would say in 10 years to 15 years when my doctor said like 2 years and two replacements in my lifetime. And he is talking to me that light duty would be one year. I hit a concrete barrier don't you think I would have soft tissue issues.Did you see any osteoarthritis forming yet? I'm thinking I'm going to have limits. I drive a small car for a living in and out rain or shine. Heavy lifting.

Answered by Dr. Saurabh Gupta (24 hours later)

Brief Answer:
Some osteoarthritis changes present.

Detailed Answer:
Hi,

There is some osteoarthritis changes present in the x-ray. But it not seems that you may require replacement so early (in 2 years).

Yes, your fracture is not healed completely, but there is sign of healing present on x-ray.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Saurabh Gupta (4 hours later)

Does 12 months seem right for light duty? And will I have limits that I can do with this type of injury?I also have bulging disc in my back that showed up on catscan

Answered by Dr. Saurabh Gupta (8 hours later)

Brief Answer:
12 months seem right for light duty.

Detailed Answer:
Hi,

Yes, 12 months seem right for light duty. With this type of injury, you have to avoid squatting.

For bulging disc in your back, you have to do physiotherapy exercises and avoid forward bending and heavy weight lifting.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar