Post-Fracture Surgery: Recovery Questions and Bone Healing Insights - Orthopedics

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Post-fracture surgery


Hello Doctor: I was in a car accident in October 2019, resulting in a fracture of the ulna, dislocation of the distal radioulnar joint, and associated injury to the interosseous nerve.
After surgery to install a plate, the ulna did not heal for six months, so in May 2020, I underwent a second surgery where my own bone and bone graft were used to fill the void, along with a new, longer plate.
I would like to ask the doctor: 1.
Is it normal to experience sharp, intermittent pain at the fracture site one week post-surgery? 2.
How long does it typically take for the bone to heal sufficiently for normal use and strength? 3.
Is there a possibility that the bone may not heal at all? 4.
How long should I wear the splint? 5.
What sensations might I experience as the bone heals? 6.
Are there calcium supplements or other dietary supplements that can help promote bone healing? Thank you, Doctor.

Miss Chen, 20~29 year old female. Ask Date: 2020/05/18

Dr. You Dianqi reply Orthopedics


Hello: It seems that your condition is quite complex.
The following responses are based solely on your written information and are intended to provide you with some general advice.
Since medical conditions are highly individual, I must honestly state that my answers are for reference only, and you should rely on the recommendations of your attending physician.
Alternatively, if you bring your complete medical history to my clinic, I would be happy to offer some suggestions or assistance.
1.
One week post-surgery is generally considered normal.
2.
Typically, it takes about three months.
3.
There are four factors to consider.
4.
It depends on the rate of your bone healing.
5.
You should feel progressively better, whether based on your subjective experience or objective examinations, such as imaging studies.
6.
A generally balanced and healthy diet is essential, with calcium intake meeting the "recommended daily allowance for calcium" (diet plus calcium supplements should reach 1000-1200 mg) to support bone healing.
Avoid excessive and blind supplementation of calcium products.
Wishing you a speedy recovery.

Reply Date: 2020/05/18

More Info


Hello! It sounds like you've been through a challenging experience with your ulnar fracture and subsequent surgeries. Let's address your questions regarding recovery and bone healing after such complex injuries.

1. Post-Surgery Pain: Experiencing pain at the fracture site one week post-surgery can be normal. This pain may feel like a throbbing or "electric" sensation, which can be attributed to several factors, including inflammation, nerve irritation, or the healing process itself. It's important to communicate this pain to your healthcare provider, especially if it worsens or is accompanied by other symptoms like swelling or fever.

2. Bone Healing Timeline: The timeline for bone healing can vary significantly based on several factors, including the type of fracture, the surgical technique used, and your overall health. Generally, fractures can take anywhere from 6 to 12 weeks to heal, but in your case, since you had a non-union and required a second surgery, it might take longer. Typically, after the second surgery, you might expect to see signs of healing within 8 to 12 weeks, but full recovery and the ability to return to normal activities could take several months.

3. Risk of Non-Union: There is always a possibility of non-union or delayed union with fractures, especially in complex cases like yours. Factors that can contribute to this include inadequate blood supply, infection, or insufficient stabilization of the fracture. Your orthopedic surgeon will monitor your healing through follow-up appointments and imaging studies to ensure that the bone is healing properly.

4. Use of a Brace: The duration for which you need to wear a brace or splint can vary. Typically, a brace is worn until the doctor confirms that the bone has sufficiently healed and can bear weight. This could range from a few weeks to several months, depending on your specific situation. Always follow your surgeon's recommendations regarding the use of a brace.

5. Sensation During Healing: As your bone heals, you may experience various sensations. Initially, you might feel discomfort or tightness around the fracture site. As healing progresses, you should notice a decrease in pain and an increase in stability. Some patients report a feeling of "tightness" or "pulling" as the bone and surrounding tissues heal and adapt.

6. Nutritional Support for Bone Healing: Nutrition plays a crucial role in bone healing. Calcium and vitamin D are essential for bone health. You should aim for a balanced diet rich in these nutrients. Foods such as dairy products, leafy greens, fish, and fortified foods are excellent sources of calcium. Vitamin D can be obtained from sunlight exposure and foods like fatty fish and fortified dairy products. Additionally, some studies suggest that protein intake is also vital for bone healing, so ensure you're consuming adequate protein from sources like meat, beans, and legumes. While calcium supplements can be beneficial, it's essential not to exceed the recommended daily intake without consulting your healthcare provider.

In conclusion, recovery from a complex fracture like yours requires patience and adherence to your healthcare provider's recommendations. Regular follow-ups, proper nutrition, and physical therapy will be crucial in your journey to regain full function. Don't hesitate to reach out to your orthopedic surgeon or physical therapist with any concerns or questions as you progress through your recovery. Wishing you a smooth and speedy recovery!

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