Can I Walk After 60 Days of Heel Bone Fracture?

Fractures are particularly common in daily life. The calcaneus, commonly known as the heel, primarily supports the movement of the entire body. Once the calcaneus is injured and not properly cared for, fractures can easily occur due to its fragile internal structure. Therefore, it is essential to avoid damaging the calcaneus. Following a calcaneal fracture, besides active treatment, proper daily care is also crucial, especially avoiding premature walking.

1. Can I walk after 60 days of calcaneal fracture? Whether walking is permissible after 60 days of calcaneal fracture depends on the radiographic examination to assess the clarity of the fracture line and the achievement of clinical initial healing. Typically, around 60 days, the fracture line may become blurred, and healing may be relatively good, allowing for ambulation. However, it is essential to gradually increase the duration and intensity of weight-bearing, as excessive force can lead to re-fracture due to the osteoporosis of the calcaneal area, potentially causing collapse, cracks, or displacement. Gradually increasing weight-bearing without pain can facilitate further walking.

2. How long does it take to walk after calcaneal fracture? Most calcaneal fractures are acute injuries, such as those resulting from jumping from a height and landing on the heel. Simple fractures not involving the articular surface can be treated conservatively with manual reduction, small splints, or plaster external fixation. Such patients can usually bear weight appropriately after 1.5 to 2 months. However, in severe cases with articular surface collapse or comminuted fractures, surgical intervention may be necessary. These patients are advised to wait for 3 months before starting weight-bearing and functional exercises.

3. What to do in case of calcaneal fracture? Calcaneal fractures are the most common type of tarsal fractures, often occurring in middle-aged men. They can severely damage the calcaneocuboid joint, leading to adhesions, stiffness, spur formation, and malunion, which may result in pain and motor dysfunction. Therefore, besides determining the fracture type, functional treatment is crucial, including early mobilization of the affected foot and gradual weight-bearing to achieve satisfactory functional recovery. Overemphasis on anatomical reduction and rigid fixation of fracture fragments is not advisable.

The calcaneus is cancellous bone with rich blood supply, making bone necrosis rare.