After removal of the plate from a clavicle fracture?
Hello, Doctor! I had surgery to remove the plate from my left clavicle fracture on January 10th.
I had a comminuted fracture of the mid-clavicle a year ago, and the surgery went relatively smoothly with no significant pain afterward.
I was discharged on the 12th.
I have a few questions: 1.
Was my discharge too early? 2.
I only immobilized my arm for one or two days; is that too short? 3.
I returned to work on the 15th in an office setting where I don't have to lift heavy objects; is that okay? 4.
Can I travel by car today? 5.
Can I dress myself, and can I raise my arm above my head? 6.
When can I have my stitches removed? Thank you very much!
Liu Xiansheng, 40~49 year old female. Ask Date: 2018/01/15
Dr. Shi Guozheng reply Orthopedics
1.
It is reasonable to stay in the hospital for one day after the removal of the steel plate, provided that the bone has healed well.
2.
No issues.
3.
There should be no problem returning to work.
4.
Taking public transportation is also fine.
5.
You can lift objects above your head.
6.
If you have any concerns that last for more than a week, you should ask your attending physician before discharge; they are usually very willing to answer your questions.
Reply Date: 2018/01/15
More Info
Post-surgery care after clavicle plate removal is crucial for ensuring a smooth recovery and minimizing complications. Based on your questions and the context provided, I will address each of your concerns while also providing general guidance on post-operative care.
1. Discharge Timing: It sounds like your surgery went well, and you were discharged on the 12th, just two days post-operation. Generally, if you are stable, have no significant pain, and can manage basic activities of daily living, being discharged after two days is not uncommon. However, it's essential to follow your surgeon's advice regarding discharge timing, as individual recovery can vary.
2. Arm Immobilization: You mentioned that you only used a sling for one or two days. While some patients may require longer immobilization, others may be encouraged to start gentle movement sooner. It’s essential to follow your surgeon's recommendations regarding how long to keep your arm in a sling. Early movement can help prevent stiffness, but too much movement too soon can risk re-injury.
3. Returning to Work: You returned to work on the 15th, which is just three days post-surgery. If your job is primarily sedentary and does not involve heavy lifting or strenuous activity, this may be acceptable. However, you should listen to your body and avoid any activities that cause pain or discomfort. If you experience increased pain or swelling, it may be wise to take additional time off.
4. Traveling by Car: Generally, if you are comfortable and can sit without pain, you should be able to travel by car. However, ensure that you have someone else driving, especially if you are still under the effects of anesthesia or pain medications. Avoid any sudden movements or jarring motions during the ride.
5. Dressing and Overhead Movement: You can attempt to dress yourself, but it may be challenging depending on your range of motion and pain levels. Start with loose-fitting clothing that is easy to put on. As for lifting your arm overhead, this will depend on your comfort level and your surgeon's advice. Typically, you should avoid overhead activities until you have been cleared by your doctor, as this can strain the healing area.
6. Suture Removal: The timing for suture removal can vary based on the type of sutures used and your healing progress. Generally, sutures are removed within 7 to 14 days post-surgery. Your surgeon will provide specific instructions based on your individual case.
Additional Considerations for Recovery:
- Pain Management: Continue to manage any post-operative pain with prescribed medications or over-the-counter pain relievers as recommended by your healthcare provider.
- Physical Therapy: Depending on your recovery, your doctor may recommend physical therapy to help regain strength and range of motion in your shoulder. Engaging in prescribed exercises can significantly aid your recovery.
- Signs of Complications: Be vigilant for signs of complications, such as increased swelling, redness, warmth, or discharge from the incision site, as well as fever or increased pain. If you notice any of these symptoms, contact your healthcare provider immediately.
- Follow-Up Appointments: Ensure you attend all follow-up appointments with your surgeon to monitor your healing progress and address any concerns.
In summary, while your early return to work and limited sling use may be acceptable under certain circumstances, it is essential to listen to your body and adhere to your surgeon's recommendations. Recovery can vary significantly from person to person, and maintaining open communication with your healthcare provider will help ensure a successful recovery.
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