Persistent Swelling and Pain After Titanium Implant Surgery: What to Know

If the swelling does not subside after two months, it may be painful?

Hello, my friend had a car accident in mid-April and underwent surgery where three titanium plates were implanted in the neck and one titanium plate in each hand.
Two months later, the swelling in both hands has not subsided and there is pain.
Could this indicate an infection or a rejection reaction? Additionally, it was later discovered that there are cracks in the hip, resulting in weakness while walking.
The rehabilitation sessions three times a week are very painful.

Gao, 60~69 year old female. Ask Date: 2016/06/10

Dr. Shi Guozheng reply Orthopedics

Swelling in both hands after surgery may be due to poor blood circulation that has not yet recovered.
It is advisable to consider rehabilitation.
If there is an infection, symptoms such as redness, swelling, heat, pain, and even fever may occur.
Implanted bone materials typically do not cause rejection reactions, as they are metallic and lack biological properties, making rejection rare.
If symptoms persist, it is important to return to the physician for further evaluation.

Reply Date: 2016/06/10

More Info

After undergoing titanium implant surgery, persistent swelling and pain can be concerning, especially if it occurs two months post-operation. It’s essential to understand the potential causes of these symptoms and the appropriate steps to take.

Firstly, it’s important to recognize that swelling and pain following surgery can be part of the normal healing process. Surgical procedures, especially those involving implants, can lead to inflammation as the body responds to the trauma of surgery. This inflammation can manifest as swelling and discomfort, which may take time to resolve. However, if the swelling and pain persist beyond the expected recovery period, it may indicate complications such as infection or an adverse reaction to the implant.

Infections are a significant concern after any surgical procedure, particularly when foreign materials like titanium implants are involved. Signs of infection can include increased redness, warmth around the surgical site, fever, and discharge from the wound. If you notice any of these symptoms, it is crucial to seek medical attention promptly. Infections can lead to more severe complications if not treated early.

Another possibility is an allergic reaction or sensitivity to the titanium implant. While titanium is generally well-tolerated by the body, some individuals may experience adverse reactions. Symptoms of an allergic reaction can include localized swelling, pain, and sometimes systemic symptoms like rash or fever. If you suspect this might be the case, discussing it with your healthcare provider is essential.

Additionally, the presence of a crack or fissure in the hip area, as you mentioned, could contribute to your symptoms. This could indicate a stress fracture or other complications related to the surgery or the healing process. It’s crucial to have this evaluated by your physician, as it may require further imaging or intervention.

Regarding your rehabilitation, it’s not uncommon for physical therapy to be uncomfortable, especially in the early stages of recovery. However, if the pain is severe or worsening, it’s essential to communicate this with your physical therapist and physician. They may need to adjust your rehabilitation program or investigate further to ensure there are no underlying issues exacerbating your pain.

In summary, while some swelling and pain can be expected after titanium implant surgery, persistent symptoms warrant further investigation. It’s essential to monitor for signs of infection, consider the possibility of an allergic reaction, and evaluate any new symptoms such as the crack in your hip. Regular communication with your healthcare team is vital to ensure a safe and effective recovery. If symptoms do not improve or worsen, do not hesitate to seek medical advice. Your health and well-being should always be the priority.

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