RehabFAQs

how bad is rehab after shattered kneecap

by Tracey Botsford Published 3 years ago Updated 1 year ago
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Recovery and Complications After a Patella Fracture
After weeks or months of immobilization with a cast or splint, there may be muscle loss (atrophy) in the leg. Physical therapy can help minimize atrophy and prevent it from becoming permanent, as well as recover muscle strength, flexibility and range of motion.

What happens when you break your knee cap?

Apr 01, 2022 · Broken kneecap - aftercare. A broken kneecap occurs when the small round bone (patella) that sits over the front of your knee joint breaks. Sometimes when a broken kneecap occurs, the patellar or quadriceps tendon can also tear. The patella and quadriceps tendon connects the big muscle in the front of your thigh to your knee joint.

How long does it take to recover from a broken kneecap?

Depending on your age and health, it takes about three to six months to recover from a broken kneecap, but very severe patellar injuries may take longer. For a time, you may be advised to avoid climbing stairs, squatting, kneeling or other activities that place strain on the knee joint.

Can you play with a broken kneecap without surgery?

Roll up a towel or something similar (I used a soft pillow) and place it under your knee. Press your knee down into the towel and lift your heel at the same time. Try to get your leg out straight, keeping your knee on the towel as you do. Hold for five seconds and …

Can I rehab my knee injuries myself?

1) Active movements of the ankle, foot, toe. 2) Assisted straight leg raise exercise for broken knee cap. 3) Knee press exercise (static quadriceps exercise) Exercises 3 – 4 weeks after the removal of plaster cast. 1) Knee flexion extension on CPM exerciser (Continuous Passive Motion exerciser) 2) Active knee flexion-extension.

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How bad is a shattered kneecap?

A patellar fracture is a serious injury that can make it difficult or even impossible to straighten your knee or walk. Some simple patellar fractures can be treated by wearing a cast or splint until the bone heals. In most patellar fractures, however, the pieces of bone move out of place when the injury occurs.

How can I strengthen my knee after broken patella?

Straight leg raising in lying down: You lie down on the mat and bend your both legs at the knee so that your both foot are on the floor. Now lift the leg you want to exercise up to 45 degrees. Hold it there for 10 seconds and then repeat with other leg. Do 10 times with each leg and two times a day.May 10, 2020

What happens after broken patella surgery?

Expect some blood to show through the bandage during the first 24 to 48 hours. You usually should continue with the ice for at least 24 hours and remove the dressing within the first 48 hours. Icing your knee for 20 or 30 minutes a few times a day during the first two days after surgery will help reduce pain.

Will a broken kneecap heal on its own?

If it is a stable fracture, your bone can be expected to heal without surgery. Surgery: If your bone pieces are displaced, they will need to be put back together in surgery.Nov 12, 2021

Can a broken patella be repaired?

How is a fractured kneecap treated? Two types of surgery may be done to repair a fractured kneecap: Open reduction-internal fixation (ORIF) surgery: The surgeon opens the skin and puts the broken bones back together with metal wires, pins or screws. Broken pieces of bone too small to be fixed are removed.

How long does it take to recover from a shattered kneecap?

Depending on your age and health, it takes about three to six months to recover from a broken kneecap, but very severe patellar injuries may take longer.

What is the most common complication following patellar fracture surgery?

Introduction: The most common major complications following surgical fixation of patellar fractures are infection, nonunion and reoperation.

How long does it take to recover from kneecap surgery?

Recovery can take around six months, but it could take up to a year before a patient can return to any training or sporting activity. After the surgery the wound is closed with stitches or surgical clips.Dec 12, 2019

How long does a fractured patella take to heal?

Healing of patella fracture may take 3 to 4 weeks, however, for fully able to walk on your own it may take 6 weeks or more. As one should be able t...

When can I bend my knee after patella surgery?

Immediately after removal of plater after 3 to 4 weeks, passive knee bending is started using CPM under the supervision of a physio. Simultaneously...

Can you walk after patella surgery?

Yes, one can start walking using walking aids after 4 weeks, but it may take more than 6 weeks to start walking independently.

Can you weight bear with a fractured patella?

Yes, after 6 weeks post-surgically one can start practising weight-bearing exercises.

What You Need to Know

Patella (kneecap) fractures (broken kneecap) are common injuries. About 1% of all broken bones are broken kneecaps.

What is a kneecap fracture?

A kneecap (patella) fracture is a break of the bone located on the front of the knee joint. The patella is a sesamoid bone: a round bone embedded in a tendon that shields and protects a joint. In the case of the patella, ligaments attach it to both the thigh muscles (quadriceps) and the shinbone (tibia).

Types of Kneecap Fractures

The type of patella fracture depends on the mechanism and severity of the injury. It can be affected by your weight and general health.

What causes kneecap fractures?

Patella fractures are injuries often associated with a blow to the knee. Common causes include:

Kneecap Fracture Diagnosis

Your doctor may use some of the following techniques to determine if you have fractured your patella:

Treatment for a Fractured Kneecap

Treatment for patella fracture varies depending on how severe the break is, as well as your age, health and other factors.

Recovery and Complications After a Patella Fracture

The knee is a complex joint that bears weight. Even after treatment, you may experience continued pain and reduced range of motion. Post-traumatic arthritis (thinning of cartilage due to trauma) of the knee is a common complication of patella fractures and other knee injuries.

How long does it take to recover from a patellar fracture?

It can take three to six months, on average, to return to prior activity levels after treatment for a patellar fracture. 1 Your recovery time will depend on your physical therapy goals, whether you had surgery or nonsurgical treatment, and the seriousness of your injury.

Why do people need knee replacements?

Because of damage to the knee joint cartilage when a fracture occurs, there is a higher chance of the development of arthritis of the joint. If kneecap arthritis becomes severe , some people may ultimately need a knee replacement or a partial knee replacement of the kneecap.

Why does my knee swell?

The swelling is caused by bleeding from the fractured bone ends into the knee joint. Patients with a large amount of blood in the knee may benefit from draining the blood for pain relief. 1  Immobilizing the knee with a knee brace will also help minimize discomfort.

What is patella fracture?

A patella fracture is an injury to the kneecap. The kneecap is one of three bones that make up the knee joint. The patella is coated with cartilage on its undersurface and is important in providing the strength of extension (straightening) of the knee joint. Verywell / Gary Ferster.

What does X-rays show?

X-rays will determine the type of fracture and the amount of displacement (separation) of the fracture. 1  One of the critical factors in determining treatment is a thorough examination. Specifically, doctors will check if the patient can perform a straight leg raise.

Is it painful to bend your knee?

Keeping the knee straight can help significantly with discomfort, and bending the joint is typically very painful. Swelling: Swelling and bruising around the front of the knee is typical of a patella fracture. As days go by, it is not uncommon for the swelling to extend down the leg, into the calf, and even into the foot.

How long does it take for a fractured kneecap to heal?

If the bone is cracked but the pieces stay in place, the treatment involves immobilizing the leg for about six weeks until the fracture is healed.

How to get your heel back down?

Roll up a towel or something similar (I used a soft pillow) and place it under your knee. Press your knee down into the towel and lift your heel at the same time. Try to get your leg out straight, keeping your knee on the towel as you do. Hold for five seconds and then slowly lower your heel back down.

How to raise your leg straight?

Sit or lie with legs out straight. Flex your foot back, push the knee down into the floor to lock it straight, lift your heel and raise your leg about 12 inches from the floor, keeping the whole leg straight as you do. (This is very difficult to begin with.

How to get rid of a swollen butt?

Start with legs out straight and slowly start to slide your heel along the floor towards your butt, as far as it will go. Hold for a few seconds, then straighten the leg back out. Repeat.

Can you fracture your patella?

Usually, this would take the form of a fall or forceful knock or blow. However, it is possible to fracture your patella by over-extension of the quad muscles with sudden and excessive force.

Physiotherapy rehabilitation for broken knee cap

If the fractured segment is displaced due to traction of the quadriceps femoris, surgical treatment is always necessary. Open reduction and internal fixation (ORIF) is indicated for fractures with displacements greater than 3 mm, and articular incongruity of 2 mm or more (1).

Patella fracture FAQ

Healing of patella fracture may take 3 to 4 weeks, however, for fully able to walk on your own it may take 6 weeks or more. As one should be able to bend the knee and bear weight on the affected leg to be able to walk.

How long does it take to recover from a patellar fracture?

How long it takes to recover after a patellar fracture will depend upon a number of factors, including: 1 The severity of your injury 2 Whether your treatment was surgical or nonsurgical 3 The time needed for rehabilitation

What happens if you break a patella bone?

If the pieces of bone are out of place (displaced), you will most likely need surgery. Fractured patellar bones that are not close together often have difficulty healing or may not heal. The thigh muscles that attach to the top of the patella are very strong and can pull the broken pieces out of place during healing.

Why is it important to treat an open fracture?

Open fractures are particularly serious because, once the skin is broken, there is a higher risk for infection in both the wound and the bone. Immediate treatment is required to prevent infection.

What is a stable fracture?

Stable fracture. This type of fracture is nondisplaced. The pieces of bone may remain in contact with each other or be separated by just a millimeter or two. In a stable fracture, the bones usually stay in place during healing.

Where is the patella located?

The patella is a small bone located in front of the knee joint — where the thighbone (femur) and shinbone (tibia) meet. It protects the knee and connects the muscles in the front of the thigh to the tibia. The ends of the femur and the undersides of the patella are covered with a smooth substance called articular cartilage.

What is post traumatic arthritis?

Posttraumatic arthritis is a type of arthritis that develops after an injury. Even when your bones heal normally, the articular cartilage covering the bones can be damaged, leading to pain and stiffness over time. Severe arthritis occurs in a small percentage of patients with patellar fractures.

How long does it take for a fractured leg to heal?

Most fractures hurt moderately for a few days to a couple of weeks. Many patients find that using ice, elevating the affected leg, and taking simple, non-prescription medications for pain relief are all that are needed to relieve pain.

How do patella fractures occur?

Kneecaps break for many reasons in many different ways, potentially causing anything from one simple fracture to a totally shattered patella. All parts of the kneecap can be affected by a fracture (or break).

Patella fracture: What symptoms can you expect if your kneecap breaks?

A person with a patella fracture will first and foremost experience (potentially severe) pain, and the knee will begin to swell too.

How are patella fractures treated?

The treatment of a broken kneecap will mostly depend on whether the fracture is displaced (meaning pieces of bone are in the wrong location) or undisplaced (also called stable, in which case the fractured pieces are still in contact), and whether a person is or is not able to raise their leg.

Fractured patella: Healing time

If your fractured patella was treated without surgery, you can expect your initial recovery time to take about four to six weeks. This is how long it usually takes any broken bone to heal, and you'll likely be wearing a cast this entire time. That does not mean your kneecap will be fully functional when the cast comes off, however.

What causes a fractured kneecap?

Common causes of kneecap fractures include: Direct Trauma: A fractured kneecap commonly results from a fall directly onto the knee, often during a car accident or while playing sports. A fractured knee caused by direct trauma usually results in serious damage to the overlying skin.

How to prevent knee fractures?

Kneecap fracture exercises strengthen your leg muscles and improve your range of motion. Choose non-weight-bearing and low-impact exercises to prevent further injury to your knee. Always consult your doctor before beginning a new exercise routine, and stop if you feel any pain.

Why do you wear knee sleeves?

Knee sleeves offer compression to reduce swelling and improve circulation to promote healing. ( See Product ) A high-quality knee brace provides warmth and is ideal for pain relief. Even after recovery, you’ll likely want to continue wearing a knee brace while working out to prevent re-injury.

What happens when you fracture your skin?

With an open fracture, the skin is broken and the bone is exposed. With this type of injury, osteomyelitis or soft tissue infection may occur. Open fractures often involve serious damage to the surrounding ligaments, tendons, and muscles. Recovery time is longer, and the risk of complications is increased.

How long does it take to return to work after knee surgery?

Using a knee brace is the best way to reduce the impact of this joint weakness on your life. If your job involves mostly sitting, you may be able to return to work a week after your injury. If your job involves climbing or extended walking, on the other hand, you may be able to return to work in about 12 weeks.

Why do you need a knee brace?

A fractured knee brace is crucial to supporting your injured joint and preventing further damage. ( See Product ) If the fractured knee is not out of place, your doctor may recommend wearing a brace until the bone heals.

What is the most common form of knee fracture?

Fractured knees often result from trauma. The most common form of knee fracture is a patellar fracture. According to several studies, patellar and fractured tibia knee each account for about 1% of all fractures. A patellar fracture is common in active, older people. If you think you’re suffering from a broken kneecap, ...

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Patella Fracture Symptoms

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Patella fractures can cause severe pain and difficulty walking. Some of the more common symptoms of this injury include the following.1 1. Pain: Patella fractures are generally quite uncomfortable. Keeping the knee straight can help significantly with discomfort, while bending the joint is typically very painful. 2. Swelling: Swelli…
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Causes

  • A patella fracture most often occurs from a fall directly onto the kneecap.1 When the fracture occurs due to this type of direct trauma, there is often damage to the overlying skin, and because of the limited amount of soft tissue, this can sometimes become an open fracture. Patella fractures can also occur when the quadriceps muscle is contracting but the knee joint is straight…
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Treatment

  • Patella fractures should be seen in the emergency room. X-rays will determine the type of fracture and the amount of displacement (separation) of the fracture.1One of the critical factors in determining treatment is a thorough examination. Specifically, healthcare providers will check if the patient can perform a straight leg raise. A straight leg raise test is done by having the patien…
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Rehab After Surgery

  • Following surgery, you will need to keep your knee in a straight position to allow for initial healing.1You will be given a hinged brace, cast, or splint to wear immediately after surgery that will help with immobilization. Exactly when the knee can begin moving depends on your surgeon's protocol, which is specific to your surgery. Gentle motion can usually begin in the first days to w…
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Frequently Asked Questions

  • How do you sleep with a broken patella?
    Since you’ll be wearing a brace, cast, or splint to keep your knee immobile, sleeping on your back is likely to be most comfortable position. You may also want to use pillows underneath the knee to keep it slightly elevated. Icing the knee a half-hour to an hour before bed, and taking any paink…
  • What is the average healing time of a broken patella?
    It can take three to six months, on average, to return to prior activity levels after treatment for a patellar fracture.1Your recovery time will depend on your physical therapy goals, whether you had surgery or nonsurgical treatment, and the seriousness of your injury.
See more on verywellhealth.com

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