You might need this procedure to treat your broken shin bone (tibia) or your fibula. This will be determined at your visit based on your condition and recovery process. Open reduction and internal fixation (ORIF) is a type of surgery used to stabilize and heal a broken bone. In some cases we allow patients to transitional directly out of the after an appropriate amount of time. These progressions typically happen over a 2, 4 or 6 week period. Quadriceps setting focusing on VMO restoration. Begin full passive/active knee range of motion exercises. Elevate the knee above the heart for the first 3 to 5 days. Use crutches non-weight bearing for 6 weeks. How long after a tibial plateau fracture can you walk If you had surgery for. 0 to 1 week: Ice and modalities to reduce pain and inflammation. I did start physical therapy at exactly 6 weeks (x3 times a week) and after 2 weeks I was only using 1 crutch and by the. In addition I had to have hardware removed from that ankle from a previous injury. Also got an IM rod, plus one screw in my fibula. In certain situations we will have patient use a brace to keep extra level of protection when outside of the boot. After 6 weeks, you can start doing partial squats and walking training exercises. I had a spiral compound tib/fib fracture on 12/13 and had surgery that same day. We typically recommend using structured supportive shoes or hiking boots during this phase to help minimize drastic changes in the forces applied to the foot and ankle. After time within a protective device the foot and ankle must learn to accommodate to the stresses involved outside of the protective devices. ![]() We generally recommend doing this over a gradual period in order to prevent further or new injury. ![]() When the tibial nerve is compressed, it results in the symptoms of tarsal tunnel. The area in the foot where the nerve enters the back of the inner side of the ankle is called the tarsal tunnel. It occurs when there is damage to the tibial nerve. The diagnosis and management of fibular fractures is discussed here. Initial management is often provided by primary care and emergency clinicians, who must therefore be familiar with these injuries. When to be Weight Bearing After an Injury or SurgeryĪfter patients are full weight bearing in the boot/protective shoe a critical portion of their recovery is transitioning back to the use of regular shoes. Tarsal tunnel syndrome is an unusual form of peripheral neuropathy. Fibular fractures, particularly those involving the ankle and the shaft just proximal, are common.
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