Femur break and ACL tear ten years ago. Walking with severe gait

[chubito]

Hey,

I really appreciate if you can help me

I broke my femur near the top around 10 years ago and had a nail placed the night of the accident. A few years before I tore my ACL which was never fixed. I am also obese (but becoming smaller, I am now training for a triathlon).

I walk with a limp and as you can see in this picture, my left leg(the injured one) sticks out to the side (sorry about bare ass shot )
mark 045.jpg

I always attributed this to 1. My bone being set wrong and 2. me being overweight. (I am bigger than this now, around 250lbs), but recently a friend suggested that my problem was not the bone, but actually muscle issues, mainly the gluteus medius. Unfortunately, i live in China and it is very difficult for me to find a physiotherapist here. I will be returning to the UK in July, but I wanted to begin exercises/treatment to fix this problem now if I can. I am more than willing to pay someone for a consultation or advice online if anyone can help me. I tried doing some side hip abductors and really felt a lot of stiffness/pain in there.

I guess what I want to know is 1) Is this something that can be fixed with PT after such a long time and 2) What kind of timescale would something like this take to fix?

As I said, if you can help me I am willing to pay a consultation charge.

Thanks in advance for any help you can offer.

Kind regards

Chubito

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[physiobob]

Hard to say from the image as it is a little far away and blurred. Perhaps something sharper and front on (with shorts!) would assist. We'd need to see waist and feet in the shot and both a relaxed stance and with feet together. Also one showing how the legs rest when sitting on the end of a table with the legs dangling over the side.

Provided that you femur alignment is not altered and your nerve conduction is still normal then you can expect a near normal result. Unfortunately one cannot give a time frame. The ACL is another issue which if you begin to run a lot might be worth considering a repair at some stage.