Surgery for removal of the plate after left clavicle fracture?
Hello, Doctor! I had surgery to remove the plate from my left clavicle fracture 8 days ago, and I have some post-operative questions: 1.
Why did I not feel any pain after receiving a dose of pain medication following the surgery? 2.
Yesterday, while taking the bus home, I stood up to get off when the bus suddenly braked.
I used my uninjured right hand to hold onto the handrail, but my body leaned forward.
Should I be concerned about this? 3.
Should I go to the general surgery or orthopedic department for my stitch removal? Thanks a lot!
Liu Xiansheng, 40~49 year old female. Ask Date: 2018/01/18
Dr. Shi Guozheng reply Orthopedics
1.
The removal of the steel plate after fracture healing usually results in minimal pain.
2.
If there is no pain at the site, then there is no issue.
3.
You can go to an orthopedic specialist.
Reply Date: 2018/01/18
More Info
Post-operative care after clavicle plate removal surgery is crucial for ensuring a smooth recovery and minimizing complications. Here are some insights and recommendations based on your questions:
1. Pain Management: It’s not uncommon for patients to experience little to no pain after surgery, especially if effective pain management strategies were employed. The anesthetic used during the procedure may still be affecting you, or the pain may simply be less than expected due to the nature of the surgery. Additionally, the body’s natural healing processes can sometimes result in reduced pain perception. However, if you experience sudden changes in pain levels or any new symptoms, it’s essential to consult your healthcare provider.
2. Concerns About Sudden Movements: It’s understandable to be concerned about sudden movements, especially after a recent surgery. If you braced yourself with your uninjured hand and felt a jolt, it’s important to monitor for any new symptoms such as increased pain, swelling, or changes in mobility in the affected area. If you experience any of these symptoms, or if you have concerns about the stability of your clavicle post-surgery, it would be wise to contact your surgeon for an evaluation. They may recommend imaging studies, such as an X-ray, to ensure that everything is healing properly.
3. Suture Removal: The removal of sutures typically depends on the surgical approach and the specific protocols of the healthcare facility. In many cases, suture removal is performed by the surgeon who conducted the procedure, which could be either an orthopedic surgeon or a general surgeon, depending on your case. It’s best to confirm with your surgical team about where and when to have your sutures removed. They will provide you with the necessary follow-up instructions.
Additional Post-Operative Care Recommendations:
- Rest and Activity Modification: After clavicle plate removal, it’s essential to allow your body adequate time to heal. Avoid heavy lifting or strenuous activities that could strain the surgical site. Gradually increase your activity level as tolerated, but listen to your body and avoid pushing through pain.
- Physical Therapy: Depending on your recovery progress, your doctor may recommend physical therapy to help restore strength and range of motion in your shoulder. Engaging in prescribed exercises can facilitate recovery and prevent stiffness.
- Monitoring for Complications: Keep an eye out for signs of infection at the surgical site, such as increased redness, swelling, warmth, or discharge. Additionally, if you experience fever, chills, or increased pain, seek medical attention promptly.
- Follow-Up Appointments: Attend all scheduled follow-up appointments with your surgeon. These visits are crucial for monitoring your recovery and addressing any concerns you may have.
- Pain Management: If you find that your pain management is inadequate, discuss this with your healthcare provider. They may adjust your medications or suggest alternative pain relief strategies.
In summary, while it’s encouraging that you are experiencing minimal pain post-surgery, it’s essential to remain vigilant about your recovery. Monitor your symptoms closely, follow your surgeon's advice, and don’t hesitate to reach out with any concerns. Your proactive approach to your recovery will contribute significantly to a successful outcome.
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