Post-Operative Care After Radius Fracture Surgery: What to Expect - Orthopedics

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Post-operative care after radius surgery?


Hello, I have undergone surgery for a radial fracture and dislocation of the radius and ulna in the wrist, where a plate was installed and screws were inserted, with a cast for additional stabilization.
Occasionally, I can feel a slight friction sensation in the bones of my hand when I move.
I would like to know if this condition is normal.
Thank you.

Lin Xiansheng, 10~19 year old female. Ask Date: 2017/01/08

Dr. Shi Guozheng reply Orthopedics


It may be normal, but it is still important to regularly return for outpatient follow-up.

Reply Date: 2017/01/08

More Info


Post-operative care after radius fracture surgery is crucial for ensuring proper healing and regaining function in the wrist and hand. After undergoing surgery for a radius fracture, especially with the insertion of plates and screws, patients can expect a range of experiences and sensations as they recover. Here’s what you should know about post-operative care and what to expect during your recovery.


Immediate Post-Operative Care
1. Pain Management: After surgery, it is common to experience pain and discomfort. Your doctor will likely prescribe pain medication to help manage this. It’s important to take your medication as directed and to communicate with your healthcare provider if your pain is not adequately controlled.

2. Swelling and Bruising: Swelling is a normal part of the healing process. Keeping your wrist elevated above heart level can help reduce swelling. Ice packs can also be applied to the area for 15-20 minutes at a time to help alleviate swelling and discomfort.

3. Wound Care: Keep the surgical site clean and dry. Follow your surgeon's instructions regarding when to change dressings and how to care for the incision. Watch for signs of infection, such as increased redness, swelling, warmth, or discharge from the wound.

4. Immobilization: Your wrist will likely be immobilized with a cast or splint. This is essential for protecting the surgical site and allowing the bones to heal properly. Avoid removing or adjusting the cast without consulting your doctor.


Rehabilitation and Recovery
1. Physical Therapy: Once your doctor gives the green light, physical therapy will be an important part of your recovery. This may begin with gentle range-of-motion exercises to prevent stiffness and improve flexibility. As healing progresses, your therapist will introduce strengthening exercises.

2. Gradual Return to Activities: It’s important to gradually return to daily activities. Avoid heavy lifting or activities that put stress on the wrist until you receive clearance from your healthcare provider.
3. Monitoring Sensations: Feeling some friction or movement within the wrist is not uncommon after surgery, especially as the healing process progresses. However, if you experience significant pain, instability, or unusual sensations, it’s essential to contact your healthcare provider. They may want to assess the surgical site to ensure that everything is healing as expected.


Long-Term Considerations
1. Follow-Up Appointments: Regular follow-up appointments with your surgeon are crucial for monitoring your recovery. X-rays may be taken to ensure that the bones are healing correctly.

2. Potential Complications: Be aware of potential complications such as nonunion (failure of the bone to heal) or malunion (healing in an incorrect position). If you notice persistent pain or functional limitations, discuss these concerns with your doctor.

3. Lifestyle Adjustments: Depending on the severity of the fracture and the surgery, you may need to make temporary adjustments to your lifestyle. This includes modifying how you perform daily tasks and possibly avoiding certain activities until you have fully healed.


Conclusion
In summary, post-operative care after radius fracture surgery involves pain management, wound care, and gradual rehabilitation. It’s normal to feel some sensations in the wrist as it heals, but any significant discomfort or changes should be reported to your healthcare provider. Following your surgeon's instructions and attending physical therapy will be key to regaining strength and function in your wrist. Always prioritize communication with your healthcare team to ensure a smooth recovery process.

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