Removal of steel pins from a fractured thumb?
Hello Doctor: I would like to ask about my little finger fracture on March 22.
After having a pin inserted, I went to have it removed today, but the X-ray showed that the fracture line has not completely healed and seems quite significant.
The doctor assessed it and mentioned that my bone is healing and that it can be removed.
Is this normal? Is it safe? Additionally, how long does it typically take for the bone to heal completely so that I can safely return to playing basketball?
Yang Tongxue, 20~29 year old female. Ask Date: 2016/05/06
Dr. Shi Guozheng reply Orthopedics
Fractures of the phalanges can typically have the fixation removed after about six weeks.
Although it may appear that the fracture has not completely healed, there is already initial callus formation, which will gradually fill in.
It is advisable to wait about three months before resuming physical activity.
Reply Date: 2016/05/06
More Info
When it comes to thumb fractures, particularly those that require pinning for stabilization, understanding the healing process and what to expect during recovery is crucial. Based on your situation, where you had a thumb fracture on March 22 and underwent pinning, it’s understandable to have concerns about the healing progress and the implications of pin removal.
Firstly, it’s important to note that bone healing is a complex process that can vary significantly from person to person. Factors such as age, overall health, the type of fracture, and the specific treatment method all play a role in how quickly and effectively a bone heals. In your case, the fact that the X-ray showed a visible gap in the fracture site suggests that the healing process is still ongoing. However, your doctor’s assessment that the bone is healing, albeit not completely, is a positive sign.
The decision to remove the pins, even if the fracture has not fully healed, can be based on several considerations. If the doctor believes that the bone is stable enough to withstand normal movements without the pins, it may be deemed safe to proceed with removal. Pins are often removed when they are no longer necessary for stabilization, and the risk of complications, such as infection or irritation, increases if they remain in place for too long. However, it’s essential to follow up with your healthcare provider if you have any concerns about the timing of the pin removal, especially if you feel that the fracture has not healed adequately.
Regarding your question about returning to activities such as playing basketball, it’s important to allow sufficient time for the bone to heal completely. While your doctor may have indicated that the bone is healing, the timeline for returning to high-impact sports can vary. Generally, it can take anywhere from 6 to 12 weeks for a fracture to heal sufficiently, but this can depend on the individual circumstances of your injury. Engaging in activities that put stress on the healing bone too soon can lead to re-injury or complications, so it’s crucial to adhere to your doctor’s advice regarding activity restrictions.
In terms of rehabilitation, once the pins are removed and your doctor gives you the green light, you may need to engage in physical therapy to regain strength and range of motion in your thumb. This rehabilitation process is vital for ensuring that you can return to your previous level of activity, including sports like basketball. Your therapist will likely guide you through exercises designed to strengthen the muscles around the thumb and improve flexibility.
To summarize, while it may seem concerning that your fracture hasn’t fully healed at the time of pin removal, it’s essential to trust your doctor’s judgment. They have assessed your healing progress and deemed it safe to proceed. Make sure to communicate any ongoing pain or concerns you have during your recovery, and follow their recommendations regarding activity levels. With proper care and rehabilitation, you should be able to return to playing basketball, but patience and adherence to medical advice will be key to a successful recovery.
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