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 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 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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How long does it take for a comminuted patellar fracture to heal?

If the patella is fractured into fragments, conservative treatment is usually not chosen, and surgical treatment is necessary. There are several surgical methods, but as long as the fixation is sturdy and the joint surface recovers well, normal life and work can generally resume in about six weeks. Typically, a follow-up at the hospital is needed in the fourth week or the twelfth week after surgery. If there are no issues at these check-ups, normal work and life can continue. However, the internal fixatives such as steel pins, wires, or memory alloy bone clamps should be removed within six months to a year post-surgery. It is generally recommended that the internal fixation devices be removed around thirteen months after surgery when the patella has healed well, and the knee joint function has been restored, allowing for a return to a normal life. So, for a comminuted patellar fracture, recovery to normal life typically takes about six weeks, and the internal fixation devices can be removed in about a year.

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Written by Wang Cheng Lin
Orthopedics
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How long does it take to recover after surgery for a comminuted fracture of the humerus?

Generally speaking, the recovery time after surgery for a comminuted fracture of the humerus is about three months, but this can vary from person to person. If the patient is young, the healing of the fracture ends might be quicker, potentially achieving bony union within two to three months. However, if the patient is elderly, their healing might be slower, possibly requiring three to four months to achieve bony union. Therefore, it is necessary for patients with fractures to regularly take X-rays to observe whether the fracture ends have achieved bony union. Typically, they should visit the hospital to get an X-ray about every two weeks to check on the growth of the fracture ends.

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Written by Lv Yao
Orthopedics
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How to treat a lumbar compression fracture

A comminuted fracture has occurred in the lumbar vertebrae, and the treatment method should be chosen based on the degree of displacement of the fracture, that is, the occupancy within the spinal canal and the extent of compression of the lumbar fracture. Generally speaking, if there is significant compression inside the spinal canal, and the height of the vertebral body of the lumbar spine is also greatly compromised, surgical intervention is necessary to restore the height of the vertebral body. If necessary, decompression inside the spinal canal should be performed to relieve pressure on the spinal cord, alleviate symptoms, and facilitate early functional recovery of the patient.