Wrist fracture, swelling after surgery?
My mother has a wrist fracture and had a bone screw inserted three weeks ago.
She has been recovering normally after the surgery, and I help her clean the wound every day.
However, recently the area has become increasingly swollen and red, and there is some discharge from the wound.
Is this normal?
Zhou Zhi Hua, 50~59 year old female. Ask Date: 2016/04/10
Dr. Shi Guozheng reply Orthopedics
It is advisable to return for a follow-up appointment to allow the physician to examine for any signs of wound infection.
Reply Date: 2016/04/10
More Info
After a wrist fracture surgery, it is common to have some swelling and discomfort as part of the healing process. However, the symptoms you are describing—specifically the increasing swelling, redness, and discharge from the wound—are concerning and may indicate a potential complication.
Firstly, it is important to understand that after surgery, the body goes through a natural healing process. Swelling can occur due to inflammation, which is a normal response to injury and surgery. However, if the swelling is progressively worsening, it could be a sign of an infection or other complications. The presence of redness and discharge from the wound is particularly alarming, as these symptoms can indicate an infection. Infections can occur post-surgery due to bacteria entering the wound site, which can lead to more serious issues if not addressed promptly.
In a typical recovery scenario, you would expect some degree of swelling and discomfort, but it should gradually improve over time. If the swelling continues to increase, or if the redness spreads, it is crucial to seek medical attention. The healthcare provider may need to evaluate the wound, possibly perform a culture to check for infection, and determine if any additional treatment is necessary.
In terms of wound care, it is good that you are helping your mother clean the wound daily. However, ensure that you are following proper hygiene practices to avoid introducing bacteria into the wound. This includes washing your hands thoroughly before touching the wound and using sterile materials for cleaning. If there are any signs of pus, increased warmth around the area, or if your mother develops a fever, these are additional signs that she should see her doctor immediately.
Regarding the timeline for recovery, after wrist fracture surgery, most patients can expect to see significant improvement within a few weeks, but full recovery can take several months. The presence of complications such as infection can prolong this timeline, so it is essential to address any concerning symptoms as soon as they arise.
In conclusion, while some swelling and discomfort are expected after wrist surgery, the symptoms you describe—especially the increasing swelling, redness, and discharge—are not typical and warrant immediate medical evaluation. It is always better to err on the side of caution when it comes to post-surgical complications. Prompt attention can help prevent further issues and ensure a smoother recovery for your mother.
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