Postoperative issues?
Hello, Doctor.
I had a car accident on July 3rd, resulting in a comminuted fracture of my left clavicle and a fracture of my left tibia.
It has been two and a half months since then.
The fracture in my leg has mostly healed, but the abrasion on my knee has not yet healed.
Is this a concern? My left clavicle has been gradually improving since the surgery, but recently I have been experiencing numbness in my left hand, and my fingers feel weak.
I can raise my arm, but I cannot support it.
Is the numbness normal? Thank you.
Liu Xiaojie, 50~59 year old female. Ask Date: 2018/09/19
Dr. Shi Guozheng reply Orthopedics
1.
The skin abrasion will need time to heal.
2.
Where is the numbness located? Is it in the left hand? This may be related to nerve compression, so it would be advisable to consult a physician.
Reply Date: 2018/09/19
More Info
After an orthopedic injury, particularly following complex fractures like those you've described, recovery can be a multifaceted process that involves not only the healing of bones but also the rehabilitation of muscles, ligaments, and the nervous system. Your situation, involving a shattered clavicle and a tibial fracture, is indeed serious, and it’s understandable to have concerns about your recovery.
Firstly, regarding the knee abrasion that has not yet healed, it is not uncommon for superficial injuries to take time to recover, especially when they are located near areas that are frequently used or subjected to pressure. Factors such as blood circulation, nutrition, and overall health can influence the healing process. If the abrasion is not showing signs of improvement after two and a half months, it may be worth consulting with your healthcare provider to ensure there are no underlying issues, such as infection or improper healing.
As for the numbness and weakness in your left arm following clavicle surgery, this is a concern that should be addressed promptly. The clavicle is closely associated with the brachial plexus, a network of nerves that innervate the arm. If there has been any trauma to this area during the accident or surgery, it could potentially lead to nerve compression or injury, resulting in symptoms like numbness, tingling, or weakness in the arm and fingers. While some degree of nerve irritation can occur post-surgery due to swelling or inflammation, persistent symptoms warrant further investigation. It would be advisable to discuss these symptoms with your orthopedic surgeon or a neurologist, who may recommend imaging studies or nerve conduction studies to assess the condition of the nerves.
In terms of rehabilitation, it is crucial to follow a structured physical therapy program tailored to your specific injuries. Rehabilitation should focus on restoring range of motion, strength, and function. For the knee, gentle exercises that promote flexibility and strength without putting undue stress on the healing bones are essential. For the shoulder, exercises that gradually increase mobility and strength while avoiding pain are important. Your physical therapist can guide you through appropriate exercises and monitor your progress.
Additionally, if you are experiencing significant discomfort or limitations in your daily activities, it may be beneficial to explore other therapeutic modalities. Techniques such as acupuncture, massage therapy, or even modalities like electrical stimulation can sometimes provide relief and enhance recovery. However, these should be discussed with your healthcare provider to ensure they are appropriate for your specific situation.
Lastly, it’s important to maintain open communication with your healthcare team. Regular follow-ups can help monitor your recovery and make necessary adjustments to your treatment plan. If you have concerns about your progress or any new symptoms, do not hesitate to reach out to your physician. Recovery from complex orthopedic injuries can be a lengthy process, but with the right support and rehabilitation, many individuals can achieve significant improvements in function and quality of life.
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