Dealing with Complications After Pelvic Fracture Surgery

Q: Dealing with Complications After Pelvic Fracture Surgery

Hello： We need to assess whether your X-ray shows any impact on healing or the hip joint. <br>If there is no impact, you can wait for healing, and the pain will gradually decrease. <br>If there is an impact, further surgery may be necessary.

Nail problems

Hello doctor, I previously fell while riding a bicycle, which resulted in a fracture of my pelvis and femur.
I underwent surgery to have metal screws inserted.
Three months post-surgery, I visited the doctor, who said I had resumed weight-bearing activities too early, causing the screws in my pelvis to shift inward.
He mentioned there was nothing he could do and only prescribed pain medication.
Now, when I stand on my leg, it shakes and continues to hurt.
What should I do at this point? Thank you, doctor.

Che, 70~79 year old female. Ask Date: 2018/04/08

Dr. Wang Shouji reply Orthopedics

Hello: We need to assess whether your X-ray shows any impact on healing or the hip joint.
If there is no impact, you can wait for healing, and the pain will gradually decrease.
If there is an impact, further surgery may be necessary.

Reply Date: 2018/04/08

More Info

Dealing with complications after pelvic fracture surgery can be quite challenging, and it’s important to understand the implications of your situation. Pelvic fractures, especially those involving the femoral head, can lead to a variety of complications, including pain, instability, and issues related to the hardware used during surgery.
From your description, it seems that you are experiencing significant pain and instability in your leg, which could be due to several factors. First, it’s crucial to recognize that the healing process after a pelvic fracture can take time, and returning to weight-bearing activities too soon can lead to complications. The fact that your doctor mentioned the screws moving inward suggests that there may be a misalignment or inadequate stabilization of the fracture site, which can contribute to ongoing pain and instability.

Here are some steps you can take to address your concerns:
1. Follow-Up with Your Surgeon: It’s essential to maintain open communication with your orthopedic surgeon. If you haven’t already, schedule a follow-up appointment to discuss your symptoms in detail. Bring up your concerns about the pain and instability, and ask if imaging studies (like X-rays or CT scans) are necessary to evaluate the position of the hardware and the healing of the fracture.

2. Pain Management: Since your doctor prescribed pain medication, ensure that you are taking it as directed. If the pain persists despite medication, inform your doctor. They may consider adjusting your pain management plan or exploring other options, such as physical therapy or alternative pain relief methods.

3. Physical Therapy: Engaging in physical therapy can be beneficial for regaining strength and stability in your leg. A physical therapist can design a rehabilitation program tailored to your needs, focusing on strengthening the muscles around your hip and pelvis, improving balance, and gradually increasing your range of motion. They can also provide guidance on safe weight-bearing activities.

4. Activity Modification: Until you have a clearer understanding of the status of your fracture and hardware, it’s wise to modify your activities. Avoid high-impact activities and movements that exacerbate your pain. Use assistive devices, such as crutches or a walker, if necessary, to reduce the load on your injured leg.

5. Consider a Second Opinion: If you feel that your concerns are not being adequately addressed, seeking a second opinion from another orthopedic specialist can provide additional insights and options for your treatment.

6. Monitor Symptoms: Keep track of your symptoms, including the intensity of your pain, any changes in mobility, and any new symptoms that arise. This information will be valuable for your healthcare provider in determining the best course of action.

7. Emotional Support: Dealing with chronic pain and mobility issues can be emotionally taxing. Consider seeking support from friends, family, or mental health professionals to help you cope with the psychological aspects of your recovery.

In summary, complications after pelvic fracture surgery can be complex and require a multifaceted approach to management. Regular follow-ups with your healthcare provider, adherence to a rehabilitation program, and open communication about your symptoms are key to navigating this challenging recovery process. Remember, healing takes time, and it’s important to be patient with yourself as you work towards regaining your strength and mobility.

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