Post-Surgery Care for Fractures: Key Questions Answered - Orthopedics

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Post-surgery after a fracture?


My sister was in a car accident and has a fracture of 2/3 of her right clavicle (anterior).
She is using a health insurance-covered plate to stabilize a fracture of her left radius (near the wrist) and has a self-paid LDRPS/P plastic splint on her left hand.
The doctor advised to loosen it every two hours.
I have the following questions: 1.
Should she also loosen it while sleeping? 2.
Does the health insurance-covered plate have a worse prognosis? 3.
Approximately when will the bones heal enough for her to resume daily activities? 4.
Are there any dietary restrictions for fractures (such as spicy or greasy foods)?

Kang Kang, 10~19 year old female. Ask Date: 2016/09/14

Dr. Li Yongheng reply Orthopedics


1.
There is no need to remove the protective gear while sleeping.

2.
The health insurance-covered plate used for the clavicle should have the same effect as the out-of-pocket plate.

3.
A fracture typically shows initial healing in about three months and can fully heal within a year.

4.
After a fracture surgery, it is advisable to avoid spicy and fried foods.

Reply Date: 2016/09/14

More Info


Post-surgery care for fractures is crucial for ensuring proper healing and recovery. Here are the answers to your questions regarding your sister's situation after her car accident:
1. Should the splint be removed while sleeping?
It is generally recommended to follow the doctor's instructions regarding the splint or brace. If the doctor advised to remove the splint every two hours while awake, it may not be necessary to remove it during sleep unless specified. However, it is important to ensure that the splint is not too tight and that circulation is not compromised. If your sister experiences discomfort or swelling, she should consult her physician for specific guidance.

2. Does using a health insurance-covered plate affect prognosis?
The type of fixation used (whether it is a health insurance-covered plate or a self-paid option) does not inherently determine the prognosis. The success of fracture healing largely depends on factors such as the type and location of the fracture, the patient's overall health, age, and adherence to post-operative care instructions. Both types of fixation can be effective if applied correctly. It is essential to follow the surgeon's recommendations for rehabilitation and follow-up care to optimize healing.

3. When can the bone be expected to heal, and when can she resume daily activities?
Bone healing times can vary significantly based on the type of fracture, the age of the patient, and other individual factors. Generally, fractures can take anywhere from 6 to 12 weeks to heal sufficiently for normal activities. However, complete healing may take longer. Your sister should consult her orthopedic surgeon for a more precise timeline based on her specific injuries. The doctor will assess the healing progress through follow-up X-rays and will provide guidance on when she can safely resume daily activities.

4. Are there dietary restrictions for fracture healing?
While there are no strict dietary restrictions for fracture healing, a balanced diet rich in essential nutrients is crucial. Foods high in calcium (like dairy products, leafy greens, and fortified foods) and vitamin D (such as fatty fish, egg yolks, and fortified foods) are particularly beneficial for bone health. Additionally, protein is essential for tissue repair, so incorporating lean meats, legumes, and nuts can be helpful. It is advisable to avoid excessive consumption of alcohol and caffeine, as they may interfere with bone healing. Spicy or greasy foods are not directly harmful to bone healing but should be consumed in moderation, especially if they cause gastrointestinal discomfort.

In summary, post-surgery care for fractures involves careful attention to the instructions provided by healthcare professionals, maintaining a balanced diet, and monitoring the healing process. Regular follow-ups with the orthopedic surgeon are essential to ensure proper recovery and to address any concerns that may arise during the healing process. If your sister has any specific questions or experiences unusual symptoms, she should not hesitate to reach out to her healthcare provider for personalized advice.

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