Doctor insights on:
Recovery Time For Broken Femur In Elderly
For a broken Femur and tib requiring rods/pins, what would be the avg hosp stay and avg recovery time? Non-smoker, healthy fit 30 yo male. Ballpark.
2-3 day stay: A broken femur and at broken tibia requiring rods is a major injury. Assuming they were isolated (no other injuries occurred), a 2-3 day stay is a reasonable timeframe. There are several other factors that can impact the time required in the hospital and with major trauma prolonged stays are not uncommon. ...Read more
Damage dependent: Not all fractured femurs are the same. A straightforward, minimally displaced femur fracture can be fixed (usually with a long intramedullary nail) in less than an hour. More complex femur fractures can take anywhere from 1-3 hours perhaps depending upon the location and complexity of the fracture pattern. Your orthopaedic surgeon should be able to give you a reasonable estimation. ...Read more
Any advise on increasing healing of a broken femur with rod and screws? Does smoking marijuana slow healing time?
Recovery: An open reduction and internal fixation with rod and screws, is the recommended method of treating femur fracture. Smoking nicotine will DELAY healing. Nicotine is a powerful vaso constrictor that chokes off your blood flow. More blood flow is needed for healing. MJ has not been studied to know. Be well. Stay connected to your surgeon. ...Read more
Busted Bone Blues: Among the serious complications are fat embolism (where droplets of oil float in the blood and travel to cause problems in other vessels), DVT and pulmonary embolism (leg blood clots traveling to the lung), hemorrhage due to arterial injury, nerve injury, shortening or rotation of the extremity if not positioned correctly to heal, and chronic pain associated with non-union, even after surgery. ...Read more
1-6 hours: Depends on the severity of the fracture and the experience of the surgeon. If it is a simple fracture the surgery itself can be less than an hour. However, in more complicated cases can take several hours to get everything right. Best is to discuss your specific case with your orthopedic surgeon. ...Read more
If you have a: Broken femur recommend not exercising until medically cleared to do so by your orthopedic surgeon. ...Read more
Ice, Elevate: Assuming that the fracture has been immobilized (surgical or cast), elevate the leg slightly, ice for 20 minutes (can use longer if icing through the cast (use plastic to keep plaster casts dry), or pain medication recommended by your doctor. Distraction aslo works, so try reading, watching a funny movie, meditation, a relaxing tea, massage, music, games, etc. ...Read more
1-2 hours: The surgical time for a broken femur usually last 1-2 hours. ...Read more
Nutrient dense foods:
Eat foods that are nutrient dense (like meat, fish, poultry, eggs, cheese, low starch vegatables and water) avoid foods that are not nutrient dense (like starches and sugars, including fruit)
nutrient dense foods will increase your basal metabolic rate. On the other hand, starches and sugars impair thyroid metabolism via affects on your liver (which helps activate thyroid hormone). ...Read more
3-6 months: The bone usually becomes solid around 6 weeks after injury, but for enough healing to occur to resume impact sports, can take quite some time. ...Read more
Variable...: This depends on a number of things. First, the fracture should be healed so that you can bear weight through the injured extremity without pain. The second thing is high heels place greater demands upon the foot and leg musculature. You may feel increased pain in your thigh muscles with high heels. It may take an extended period of time to recondition your muscles to wear fashionable footwear. ...Read more
Femur fracture: Isometric muscle strengthening exercises and weight bearing on the affected extremity with the assistance of crutches will be helpful. The goal is to strengthen the muscles supporting the fractured bone. However, I would refer this patient to contact to an orthopedic surgeon. ...Read more
What are some difficulties associated with removal of hardware used to fix broken femur? Post op 8 years w/ well-healed femur. No known risk factors.
Not many: Risk factors can include difficulty removing the hardware -- it always looks easier than it is. It also depends on what kind of hardware you have - a plat or rod. Sometimes with rods, they get buried in the bone which makes it hard to remove. If is a plate removal, then there can be issues with scar and dissection. After removal you have a slight chance of stress fractures for 8 - 12 weeks. ...Read more
What are some indications that surgical implants (rod and screws) should be removed from a broken femur?
Healed: Sometimes orthopedic surgeons remove hardware once a fracture has proven to be healed on x-rays. Other times for infection or erosion through the skin. ...Read more
Highly unlikely: At this time, the only patient that might have a cast used to treated a broken femur would be a young child. Essentially all other patients, from teens up through adults, will undergo surgery for a broken femur. Presumably we are discussing femoral shaft fractures, not a minor fracture such as a greater trochanteric fracture. ...Read more
About 10 weeks: A fractured femur should heal in about 10 weeks or so. Many factors can affect the healing time, including the health of the patient (smokers and diabetics may heal more slowly), and the type of femur fracture (shaft fracture versus hip fracture versus fracture closer to the knee), and the form of treatment may affect the healing time as well. On average, though, 10 weeks is a good estimate. ...Read more
Depends on severity: A lot of variables come into play with this answer. Did you need surgery? If you needed surgery, did the surgeon have to use hardware to fix the fracture? Do you have osteoporosis? If the fracture is bad enough, it may take upwards of 6 months to heal and for the patient to be back to normal activities (this is including physical therapy). ...Read more
Almost immediately: Bone healing in children is quite remarkable. Even though healing begins quickly after initial treatment by the orthopedic surgeon (casting +/- surgery), it can still take 6-12 weeks of spica casting to ensure proper healing, depending on the nature and location of the fracture itself. ...Read more
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