Post-Surgery Issues After Clavicle Fracture: What to Expect - Orthopedics

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Postoperative Issues Related to Clavicle Fracture Surgery


Hello Doctor, I had a clavicle fracture from a car accident at the end of last year, and I had the bone screws removed at the end of January this year.
I have been using non-dissolvable sutures, but recently the wound has been leaking a fluid that resembles pus (it's clear with some yellowish tint), and the area around the wound is red and itchy.
I have been using adhesive strips, but they tend to come off after showering (I'm not sure if it's due to water exposure or the fluid leakage).
It seems that the sutured area has not fully healed yet.
Is this situation normal? Thank you!

Yu, 20~29 year old female. Ask Date: 2019/02/15

Dr. Shi Guozheng reply Orthopedics


The wound may have issues and requires a follow-up with a physician.
Typically, a healing wound should not exude fluid or have red, inflamed skin, as these could be signs of infection.

Reply Date: 2019/02/15

More Info


After a clavicle fracture and subsequent surgery, it is not uncommon to experience a range of post-surgical issues, especially when it comes to wound healing. Based on your description, it seems that you are dealing with some complications that warrant attention.

Firstly, the presence of a discharge that resembles pus, along with redness and itching around the surgical site, could indicate an infection. While some drainage is normal after surgery, especially in the initial healing phase, any discharge that is yellow or green, or accompanied by increased redness, warmth, or pain, should be evaluated by a healthcare professional. The fact that your wound is itchy and red suggests that there may be an inflammatory response, which could be due to an infection or an allergic reaction to the adhesive used for the wound dressing.

The use of non-removable sutures is generally intended to promote healing without the need for a follow-up visit to remove stitches. However, if the sutures are not healing properly and you are still experiencing drainage, it may be necessary for your doctor to assess the wound. They might consider whether the sutures need to be removed or if additional treatment is required, such as antibiotics if an infection is confirmed.

Regarding the adhesive strips you are using, it is important to keep the wound as dry as possible. If the adhesive strips are falling off after bathing, it could be due to moisture compromising their adherence. You might want to consider using waterproof dressings or covering the area with plastic wrap while showering to keep it dry. After bathing, gently pat the area dry and reapply a fresh dressing if necessary.

In terms of healing time, it is not unusual for surgical wounds to take several weeks to fully heal, especially in the case of a clavicle fracture where movement and strain on the area can affect recovery. However, if you notice that the wound is not improving or if symptoms worsen, it is crucial to seek medical attention promptly. Your healthcare provider may perform an examination, possibly including imaging studies, to ensure that there are no underlying issues such as a retained foreign body or complications related to the fracture itself.

In summary, while some drainage and discomfort can be expected after surgery, the symptoms you are describing—particularly the yellowish discharge, redness, and itching—are concerning and should be evaluated by a physician. They can provide a thorough examination and determine the appropriate course of action to ensure proper healing and prevent further complications. It is always better to err on the side of caution when it comes to post-surgical care. Please make an appointment with your doctor as soon as possible to address these concerns.

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