A: If the lateral malleolus fracture is accompanied by medial malleolus triangular ligament injury, it is necessary to open the medial malleolus to repair the ligament. In addition, due to the swelling of lower limb fracture, after surgical incision, deep fasciotomy can be done more than 8cm away from the wound because of high tension and difficulty in suture, so as to reduce tension and ensure good tissue coverage of implants such as steel plates.
2 。 Under such circumstances, is it appropriate to walk without crutches?
Fracture healing can be divided into two stages: clinical healing and firm healing. The former can be removed except for fixing, but it is not allowed to bear the weight, while the latter allows the limbs to bear the weight. X-ray shows that the fracture line disappears completely when it heals firmly, and it heals firmly, and there is no pain when it is stressed. The healing time of lateral malleolus fracture is generally 6 ~ 8 weeks. Therefore, it is recommended to use crutches for more than two months.
3 。 I have booked the flight number 1 1. I wonder if this situation will affect?
"The right calf muscle is slack, the ankle is swollen, the ankle is tight when rotating, and the heel is tingling when standing." These are common manifestations of the disease after surgery, and generally have no effect. After gradual functional exercise, it will return to normal.
4 。 I hope that experts can provide some suggestions on recovery or related issues.
A, lateral malleolus fracture due to the special location, subcutaneous tissue is thin, a little careless, will lead to lateral malleolus skin wear and infection, steel plate exposed. It is recommended not to wear shoes with hard edges to prevent wear. Don't scab the wound to avoid exposing it.
B, to avoid re-injury: due to the poor muscle coordination and balance ability after trauma surgery, you should pay attention to the smooth road surface when you start walking, reduce walking up and down slopes, and the pace should not be too fast.
C, promote the recovery of circulation, to avoid lower limb swelling. You can do some local massage and relax your muscles.
D. Drugs affecting fracture healing: Indomethacin, salicylic acid, tetracycline and corticosterone should be avoided.