Do You Really Need a Sling After Elbow Fracture Surgery? - Orthopedics

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After surgery for an olecranon fracture, is it necessary to wear a triangular bandage?


After surgery for a coronoid fracture, I have been wearing a sling for a full week.
When I take off the sling before bed, my arm hurts a lot when I stretch it out straight, possibly because it has been fixed in a bent position for too long.
What is the purpose of wearing a sling? Is it necessary to wear it?

Yuyan, 40~49 year old female. Ask Date: 2019/04/09

Dr. Li Yongheng reply Orthopedics


Hello, if it is a simple fracture and the bone screws are securely fixed, a triangular bandage may not be necessary.
Conversely, in the case of a comminuted fracture, it is usually required to use a triangular bandage for three weeks postoperatively to prevent displacement of the fracture site or loosening of the bone screws.

Reply Date: 2019/04/09

More Info


After undergoing surgery for an elbow fracture, the use of a sling or triangular bandage is often recommended to support the healing process. The primary purpose of wearing a sling is to immobilize the elbow joint, which helps reduce pain and swelling, and prevents further injury during the initial recovery phase. This immobilization is crucial, especially in the early weeks following surgery, as it allows the fractured bones to heal properly and minimizes the risk of complications such as malunion or nonunion.

1. Purpose of Wearing a Sling: The sling serves multiple purposes:
- Stabilization: It keeps the elbow in a stable position, reducing movement that could disrupt the healing process.

- Pain Relief: By limiting motion, the sling can help alleviate pain, especially when the arm is at rest.

- Swelling Control: Elevating the arm in a sling can help reduce swelling by promoting venous return and preventing fluid accumulation.

2. Duration of Sling Use: The duration for which you need to wear the sling can vary based on the severity of the fracture, the type of surgical procedure performed, and your individual healing process. Typically, patients are advised to wear the sling for several weeks, but your orthopedic surgeon will provide specific guidance based on your condition. It is essential to follow your doctor's recommendations regarding the duration of sling use.

3. Transitioning from Sling: After a week of wearing the sling, if you are experiencing significant pain when removing it, this may indicate that your elbow is still in the early stages of healing. It is common to feel discomfort when transitioning from immobilization to movement. Gradually increasing your range of motion under the guidance of a physical therapist can help ease this transition. Your doctor may recommend specific exercises to help regain mobility while still providing some support to the joint.

4. Is it Necessary to Wear a Sling?: While it is generally advisable to wear a sling after elbow fracture surgery, the necessity can depend on individual circumstances. If you are experiencing severe pain or instability without the sling, it is likely beneficial to continue using it. However, if your doctor assesses that your healing is progressing well and you can manage without the sling, they may advise you to discontinue its use.

5. Potential Complications: Not wearing a sling when needed can lead to complications such as:
- Increased pain and swelling
- Delayed healing or improper alignment of the fracture
- Increased risk of re-injury
6. Consulting Your Doctor: It is crucial to maintain open communication with your healthcare provider regarding your recovery. If you have concerns about the pain you are experiencing or the necessity of the sling, do not hesitate to reach out to your surgeon. They can provide personalized advice based on your specific situation and may adjust your treatment plan as needed.

In summary, wearing a sling after elbow fracture surgery is generally recommended to support healing, reduce pain, and prevent complications. The duration of sling use should be guided by your healthcare provider, and any concerns about pain or mobility should be discussed with them to ensure a safe and effective recovery process.

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