Will a comminuted patella fracture cause limping?

Written by Na Hong Wei
Orthopedics
Updated on September 06, 2024
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Patellar comminuted fractures, as long as treated promptly and correctly, and if the surgery poses no issues, generally heal in about six months, thereby not causing any significant impact. Thus, there's no need to worry about limping. Limping usually means that when walking, one leg appears longer than the other. Under what circumstances can limping occur? If the difference in leg length is within one centimeter, it's imperceptible and won't have any effect. If the difference exceeds two centimeters, then there is a noticeable tilt in the lower limbs, and only then can limping be observed during walking; however, even if limping occurs, it is not severe. It just means that while walking, there is a tilt towards the shorter side. After treatment, patellar comminuted fractures have a complete chance of healing and once healed properly, it's almost like before the injury. Even in severe cases where the fracture is critically fragmented and requires removal, even without patellar replacement, by reinforcing the patellar tendon, it typically does not result in limping. It only impacts the strength in knee extension, possibly creating a mild impediment compared to the other side, and might make walking appear slightly abnormal, but it definitely does not lead to limping. Hence, patellar comminuted fractures do not result in limping.

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Written by Wang Cheng Lin
Orthopedics
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Post-syndrome of comminuted femoral fracture

The main sequelae of comminuted femoral fractures are as follows: The first is a delay in healing and nonunion of the fracture ends. Due to the comminuted nature of the fracture, local blood circulation has been damaged, and even with surgery, it is difficult to restore circulation. This can lead to delayed healing and nonunion of the fracture ends, generally requiring observation for around one year. If fracture lines are still clearly visible after a year, this confirms a nonunion, necessitating further surgery and bone grafting to restore the healing of the fracture. The second, in cases of nonunion, is the possibility of plate fracture. Many patients, unable to endure extended bed rest, need to start weight-bearing walking. If the fracture ends have not healed and weight-bearing occurs, the body's full weight concentrates on the plate, leading to stress fractures of the plate and screws. Should such stress fractures occur, immediate surgical intervention is needed to replace the internal fixation.

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Written by Guan Jing Tao
Orthopedics
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Is a comminuted fracture of the hip bone serious?

The answer is definitely yes. A comminuted fracture of the hip bone can affect the stability of the pelvic ring, thus absolute bed rest is necessary, and surgical treatment may be needed when required. Especially in middle-aged and elderly people, early ambulation after surgery can help avoid various complications that can arise from prolonged bed rest, such as three to six months, or even more than half a year, which could exacerbate complications in the elderly and even be life-threatening. Therefore, comminuted fractures of the hip are relatively severe and require active surgical treatment. Post-surgery, appropriate bed rest is also needed, and it is advisable to use a pulsating air mattress to prevent potential complications like pressure sores, and appropriate body massages should be performed to prevent the occurrence of lower limb venous thrombosis. Additionally, turning and patting on the back should be performed to prevent dependent lung pneumonia.

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Written by Na Hong Wei
Orthopedics
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Will a comminuted fracture of the tibia cause limping?

If a comminuted tibial fracture is treated correctly, with proper alignment and the shortening kept within one centimeter, limping will absolutely not occur. The reason for limping after surgery for a comminuted fracture is due to unequal leg lengths. There are many reasons for differences in leg length, but no matter the cause, if the difference is less than 1 centimeter, a person will absolutely not limp. However, if it is less than two centimeters, or more, it then becomes apparent that one leg is longer and the other shorter, resulting in a limp. Therefore, for comminuted fractures, whether it is of the tibia, femur, or another bone, as long as the alignment is properly maintained and the shortening is controlled to within 1 centimeter, postoperative recovery will be very good, without any limping.

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Written by Na Hong Wei
Orthopedics
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How long does it take to walk normally after a comminuted patellar fracture?

If the surgery is performed without any issues, you can start normal knee flexion and extension exercises about three days after the surgery. Then, about a week later, you can begin walking with the aid of crutches. At six weeks post-surgery, you should return to the hospital for a follow-up. If there is continuous callus formation along the fracture line, you can walk normally. However, you need to be cautious at this time, as the fracture healing is not very solid, and it is best to avoid vigorous activities. Activities like running and jumping should be postponed until about three months later. Therefore, for patellar comminuted fractures, you can generally walk normally between six to twelve weeks after the surgery.

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Written by Wang Cheng Lin
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How long will it take for a comminuted ankle fracture to heal?

Hello! You're asking how long it takes for a comminuted ankle fracture to heal. Generally, the healing time for a comminuted fracture in the ankle is about three months. Depending on your specific condition, you may need to have an X-ray to confirm if your ankle fracture has achieved bony union. If bony union has been achieved, you can then appropriately begin weight-bearing activities to promote blood circulation in the lower limbs and restore joint mobility. However, if the X-ray shows that bony union has not been achieved, it is absolutely crucial not to bear weight. Premature weight-bearing can cause the fracture ends to break again and shift, potentially necessitating a second surgery. So, generally speaking, the healing time for non-comminuted ankle fractures is also about three months, but it is essential to check the final X-ray to see if the fracture has healed.