Post-Surgery Recovery: When to Start Rehabilitation After Ulnar Fracture - Orthopedics

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After sustaining an ulnar fracture near the elbow joint due to a car accident, it is understandable to have concerns about when to begin rehabilitation following surgery. You mentioned that you had surgery on July 9, where a pin was implanted, and you have been in a splint for the past ten days. It is crucial to balance the need for immobilization to allow for proper healing with the necessity of rehabilitation to prevent complications such as muscle atrophy and stiffness.

In general, after a fracture surgery, rehabilitation can often begin relatively soon, depending on the stability of the fracture and the surgeon's recommendations. For most ulnar fractures, especially those treated with internal fixation (like pins), rehabilitation can start within a week or two post-surgery, provided that the fracture is stable and there are no complications. However, the exact timing can vary based on individual circumstances, including the type of fracture, the surgical technique used, and the patient's overall health.

Given that you have been in a splint for ten days and are experiencing difficulties with hand movements, swelling, and pain, it is essential to consult your orthopedic surgeon or physical therapist for personalized advice. They will assess your healing progress through physical examination and possibly imaging studies to determine if it is safe to start rehabilitation exercises.
Here are some general guidelines regarding post-surgery rehabilitation for an ulnar fracture:
1. Timing of Rehabilitation: Typically, if the fracture is stable and healing well, gentle range-of-motion exercises can begin within 1-2 weeks post-surgery. However, if there are concerns about the stability of the fracture or if there is significant swelling or pain, your healthcare provider may recommend waiting a bit longer.

2. Initial Exercises: Once cleared for rehabilitation, you may start with gentle range-of-motion exercises. These can include wrist flexion and extension, finger movements, and elbow flexion and extension. It is crucial to perform these exercises within a pain-free range to avoid exacerbating any discomfort.

3. Managing Swelling and Pain: Elevating the arm, applying ice, and using compression can help reduce swelling. If you experience persistent pain, it is essential to communicate this with your healthcare provider, as they may need to adjust your pain management plan.

4. Preventing Muscle Atrophy: If you are unable to move the elbow or wrist due to pain or swelling, your therapist may provide alternative exercises to maintain muscle strength in other areas, such as the shoulder or unaffected arm.

5. Monitoring Progress: Regular follow-up appointments with your surgeon are vital to monitor the healing process and adjust your rehabilitation plan as necessary. They will also check for any signs of complications, such as nonunion or malunion of the fracture.

6. Long-term Considerations: If rehabilitation is delayed too long, there is a risk of developing stiffness or adhesions in the joint, which can lead to long-term functional limitations. Therefore, it is crucial to start rehabilitation as soon as it is deemed safe.

In conclusion, while it is essential to allow for proper healing after surgery, initiating rehabilitation exercises early can help prevent complications and promote better functional recovery. Please reach out to your healthcare provider to discuss your specific situation and get personalized recommendations for your rehabilitation plan. Your proactive approach to your recovery is commendable, and with the right guidance, you can work towards regaining full function of your arm.