Clavicle Fracture: When to Remove Stitches and Change Dressings? - Orthopedics

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After a clavicle fracture surgery, the management of stitches and dressings is crucial for proper healing and recovery. Here’s a detailed response to your questions based on medical knowledge and common practices.

1. When to Remove Stitches After Clavicle Surgery: Typically, stitches after a clavicle fracture surgery can be removed around 7 to 14 days post-operation. The exact timing can depend on several factors, including the type of sutures used (absorbable vs. non-absorbable), the surgical technique, and the individual’s healing process. In many cases, surgeons prefer to wait about 10 to 14 days to ensure that the incision has healed sufficiently to prevent reopening. Therefore, if you had your surgery on the 10th, it is reasonable to expect that your stitches could be removed around the 20th to 24th, depending on your surgeon's assessment.

2. Changing Dressings: It is common practice to change the dressing on the surgical site a few times in the first week after surgery, especially if the dressing becomes wet or soiled. After the initial dressing changes, if the site appears clean and there are no signs of infection (such as increased redness, swelling, or discharge), it is generally acceptable to leave the dressing in place until the stitches are removed. However, you should always follow your surgeon's specific instructions regarding dressing changes, as they may have tailored advice based on your individual case.

3. Activity Level After Stitch Removal: Once the stitches are removed, you may be allowed to gradually increase your activity level, but it is essential to follow your surgeon's guidelines. While you may be able to perform light activities, you should avoid heavy lifting or high-impact activities until your doctor gives you the green light. The clavicle is a critical bone for shoulder stability and function, and premature stress on the area can lead to complications, such as delayed healing or re-injury. Physical therapy may be recommended to help restore range of motion and strength in the shoulder and arm.


Additional Considerations:
- Signs of Infection: After surgery, monitor the surgical site for any signs of infection, such as increased pain, swelling, redness, warmth, or discharge. If you notice any of these symptoms, contact your healthcare provider immediately.

- Pain Management: It is normal to experience some pain and discomfort after surgery. Your doctor may prescribe pain medication or recommend over-the-counter options. Always take medications as directed.

- Rehabilitation: Engaging in physical therapy after your stitches are removed can be beneficial. A physical therapist can guide you through exercises that promote healing, improve mobility, and strengthen the muscles around the shoulder.

- Follow-Up Appointments: Ensure you attend all follow-up appointments with your surgeon. They will monitor your healing progress and make recommendations for your rehabilitation plan.

In summary, while you can expect to have your stitches removed about a week to two weeks after surgery, the timing may vary based on your specific situation. After removal, you should gradually increase your activity level while avoiding heavy lifting and high-impact activities until cleared by your surgeon. Always prioritize communication with your healthcare provider to ensure a safe and effective recovery.