After the removal of thigh intramedullary nails, in general, 1 month after the operation, you can go down to the ground with the help of crutches and partially weight-bearing, and you can walk with full weight-bearing after 3 months, the specific weight-bearing time needs to be determined according to the individual’s physical condition, surgical condition and the results of the radiographs and review.
1. Within 4 weeks after surgery: Early on, active muscle training and distal joint activities can be carried out in bed, and after wound healing, you can go down to the ground with the help of crutches under the guidance of the doctor, and start activities from non-weight-bearing.
2. 4~8 weeks after surgery: 4~8 weeks after surgery, the bone scab starts to form, and you can gradually transition to partial weight-bearing, partial weight-bearing can stimulate the fractured ends and promote fracture healing.
3. 8~12 weeks after surgery: about 3 months after surgery, if the radiographs show that the fracture is completely healed, you can transition to full weight-bearing walking on the affected limb. However, early exercise should be moderate, not excessive weight bearing.
Intramedullary femoral nailing is mainly applied to closed fractures between the rotor of the femur and the femoral stem. During the period of bed rest, it is necessary to strengthen nursing care and nutrition to prevent venous thrombosis of the lower limbs, acne and other complications caused by long-term bed rest. Rehabilitation training should be carried out strictly under the guidance of the doctor, step by step, to avoid overwork and overloading, resulting in re-damage.