Post-Surgery Care: Essential Tips After Metal Plate Removal for Femur Fracture

Femoral fracture completely healed, and the metal screws were removed one year later?

Because I didn't follow the doctor's advice after the steel pins were inserted, I gradually started to feel soreness and pain, especially with changes in the weather.
This time, it has only been a few days since I had the pins removed.
Although I am now taking care of myself, it may already be too late.
I would like to ask the doctor what precautions I should take after the removal of the steel pins.
For example, my family says I shouldn't eat seafood, bananas, and should avoid cold drinks or ice.
Besides these dietary restrictions, what else should I be aware of? I had surgery on the 8th and was discharged on the afternoon of the 9th.
Since then, I have been resting at home until today, the 13th, but it hasn't even been a week yet.
I initially used crutches, but as days went by, I only needed one crutch, and now I am gradually trying to walk without relying on them.
I just want to recover quickly and return to my normal life and work.
The doctor advised me to rest at home for a month, but since my company cannot accommodate such a long absence, I informed the doctor of my situation.
He then suggested at least two weeks of rest.
However, it has not yet been a week, and I am already trying to walk.
My family is not very supportive of me not using the crutches and is worried that if I don't take proper care of my injury, I might face complications later on, especially since I am still young.
But I feel like I can start walking again.
Doctor, do you think I am moving too fast? Even if I feel capable, is it still inappropriate? I also feel that the recovery after removing the steel pins is slower than when they were inserted.
The main concern now is to take care of the incision to prevent inflammation, which might be affecting my ability to walk.
It could be due to the pulling sensation from the healing wound.
I wonder if I need to wait for the bone marrow to recover since the pins were inserted in the middle of the femur.
Although I don't fully understand the internal structure, I noticed that the pins seem to be drilled into the bone.
So besides the surgical wound, does the bone also need time to heal completely? In the past, I was too eager to recover quickly after the pins were inserted.
The doctor had said I should rest for six months, but I only took three months and completed the recovery, which seems to have led to complications that trouble and regret me.
Doctor, what should I do? Can you give me some advice?

Nancy, 20~29 year old female. Ask Date: 2016/07/13

Dr. Shi Guozheng reply Orthopedics

Femoral fractures typically allow for the removal of intramedullary nails after more than a year, provided that the fracture has healed well prior to removal.
Once the intramedullary nail is removed, normal function and weight-bearing ability usually return within approximately two weeks, allowing for ambulation.

Reply Date: 2016/07/13

More Info

Post-surgery care after the removal of metal plates, especially for a femur fracture, is crucial for ensuring proper healing and minimizing complications. Here are some essential tips and considerations based on your situation:

1. Follow Medical Advice
After surgery, it's vital to adhere to your doctor's recommendations regarding rest and activity levels. While it’s understandable to want to return to normal activities quickly, your body needs time to heal. Your doctor suggested resting for at least two weeks, and it’s important to respect that timeline. Rushing back into activities can lead to complications, including re-injury or delayed healing.

2. Pain Management
You mentioned experiencing pain, especially with changes in weather. This is not uncommon after surgery, as the body may still be adjusting to the absence of the metal plate. Over-the-counter pain relievers, as prescribed by your doctor, can help manage discomfort. If the pain persists or worsens, consult your healthcare provider.

3. Gradual Increase in Activity
While you feel ready to walk without crutches, it’s essential to gradually increase your activity level. Start with short distances and gradually extend as tolerated. Listen to your body; if you experience pain or discomfort, it may be a sign to slow down. Engaging in physical therapy can also provide structured guidance on safe exercises to strengthen your leg without overexerting yourself.

4. Wound Care
Since you’ve recently had surgery, keeping the incision site clean and dry is paramount to prevent infection. Follow your surgeon’s instructions regarding wound care, including when to change dressings and signs of infection to watch for, such as increased redness, swelling, or discharge.

5. Dietary Considerations
Regarding dietary restrictions, while there is no universal ban on seafood or bananas post-surgery, a balanced diet rich in protein, vitamins, and minerals is essential for healing. Foods high in calcium and vitamin D, such as dairy products, leafy greens, and fish, can support bone health. Staying hydrated and avoiding excessive alcohol and processed foods can also aid recovery.

6. Bone Healing Process
The healing of bone after surgery can take time. Even after the removal of metal plates, the bone needs to regain strength and integrity. Typically, bone healing can take several months, and while you may feel better, it’s crucial to allow adequate time for complete recovery. Engaging in weight-bearing activities too soon can jeopardize this process.

7. Monitoring for Complications
Be vigilant for any signs of complications, such as increased swelling, persistent pain, or changes in mobility. If you notice any concerning symptoms, contact your healthcare provider immediately.

8. Psychological Aspect of Recovery
It’s common to feel anxious about recovery and returning to normal life. Consider discussing your feelings with a healthcare professional or a counselor who can provide support and strategies for managing anxiety related to your recovery.

9. Long-term Considerations
Reflecting on your previous experience with metal plates, it’s understandable to be cautious. Each recovery is unique, and while it’s tempting to push yourself, remember that patience is key. Allowing your body the necessary time to heal can prevent long-term complications and ensure a more successful return to your daily activities.

In conclusion, while your eagerness to recover is commendable, it’s essential to balance that with the need for proper healing. Follow your doctor's advice, engage in gradual rehabilitation, maintain good wound care, and nourish your body with a healthy diet. By doing so, you can enhance your recovery and minimize the risk of complications.

Similar Q&A

Post-Fracture Recovery: Managing Pain and Mobility After Surgery

Dear Dr. Lee, I was involved in a car accident four months ago, resulting in a fracture of the mandible, a fracture of the right ankle, and an open fracture of the right tibia. Currently, the healing of the fractures has reached 95%. However, I experience pain in my foot, ankle,...

Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, recovery after the removal of the metal plate is generally quick. Typically, during the first week, you will need to rely on crutches, but you can still walk normally. By the second week, you should be able to walk without crutches, although y...

Post-Surgery Concerns: Understanding Intramedullary Nails and Bone Plates

Dear Doctor, I have a few questions regarding my recovery one month after my femur fracture surgery, and I would like to seek your expertise: 1. When I fully extend my knee, I can feel the metal rod protruding (see images 1, 2, and 3), which causes a sensation of tightness and d...

Dr. Zhan Xian reply Orthopedics
Hello Mr. Lin, the X-ray you provided cannot be opened, and I am unable to give feedback on the images. Since it has been about a month post-fracture surgery and the fracture has not yet healed, you can discuss your concerns with the surgeon during your follow-up appointment.

Should You Remove Metal Plates After Bone Surgery? Risks and Recovery Explained

Hello, Dr. Chen! I had surgery for a right humeral fracture (with plates and screws) nearly two years ago. I've been considering whether I should have the hardware removed, but I'm concerned about potential complications. I've heard that delaying removal could lead...

Dr. Chen Xingyuan reply Orthopedics
Dear Readers, In principle, temporary fixation devices such as steel plates and screws implanted in the body should be removed as soon as possible after the fracture has healed. While it is possible to leave these fixation devices in place, there are several considerations: 1. ...

Understanding Thigh Fracture Recovery: When to Remove the Steel Plate

Hello, doctor. I had a car accident last September that resulted in a femur fracture, and I underwent surgery to have a steel plate inserted. Last month, I had an X-ray, and the doctor confirmed that the bone has healed well. However, the doctor mentioned that the plate cannot be...

Dr. Shi Guozheng reply Orthopedics
The removal of the metal plate must wait until the bone has healed properly; otherwise, there is a risk of re-fracture. Experiencing some discomfort is normal.