Recovery and Exercise After Radius Fracture Surgery - Orthopedics

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Radial fracture


Hello Doctor: I underwent surgery for a right radial fracture with plate fixation on June 9 of this year.
1.
Is it necessary to remove the plate after one year? 2.
How long will it take before I can engage in aerobic exercise? It has been almost two months now, and my doctor has informed me that my recovery is progressing well.
Can I perform less intense exercises that do not require supporting my arm? For example, can I do arm-toning exercises that involve lifting my arms or circular arm movements, as well as exercises for slimming my waist, thighs, or running, as long as they do not put stress on my arm and are not vigorous?

Miss Peng, 20~29 year old female. Ask Date: 2020/08/06

Dr. Chen Bochen reply Orthopedics


1.
Is it necessary to remove the metal plate after one year? >>> If there are no specific discomforts, it can be monitored and does not necessarily need to be removed.

2.
How long until I can do aerobic exercise? Since it has been almost 2 months and my doctor has informed me that my recovery is good, can I perform less intense exercises that do not put weight on my arms? For example, exercises to slim the arms that require raising the arms or arm circles, as well as exercises for slimming the waist, thighs, or running, as long as they do not put weight on my arms and are not intense, is that okay? >>> The various movements you mentioned can be performed.
Wishing you a speedy recovery.

Reply Date: 2020/08/06

More Info


After undergoing surgery for a radius fracture, it is essential to understand the recovery process and the appropriate timeline for resuming various activities, including exercise. Here’s a comprehensive overview based on your questions and general medical knowledge regarding recovery after such an injury.


1. Removal of the Plate
Regarding your first question about the necessity of removing the plate after one year, it is not always mandatory. The decision to remove the hardware (the plate and screws) depends on several factors, including:
- Healing Progress: If the bone has healed adequately and there are no complications, some surgeons may recommend leaving the plate in place, especially if it is not causing any discomfort or functional issues.

- Symptoms: If you experience pain, discomfort, or any other symptoms related to the hardware, your doctor may suggest its removal.

- Activity Level: For individuals who engage in high-impact sports or activities, removal might be recommended to prevent potential complications or discomfort during those activities.

It is crucial to have a discussion with your orthopedic surgeon about your specific case, as they can provide personalized advice based on your healing progress and lifestyle.


2. Resuming Aerobic Exercise
As for your second question regarding the timeline for resuming aerobic exercise, it is generally advisable to wait until you have sufficient healing and strength in your arm. Since you are approaching two months post-surgery and your doctor has indicated that your recovery is progressing well, you may be able to start engaging in light aerobic activities. However, it is essential to consider the following:
- Type of Exercise: You can certainly engage in exercises that do not require you to put weight on your arm or involve significant upper body strength. Activities like walking, stationary cycling, or using an elliptical machine can be excellent options. These exercises allow you to maintain cardiovascular fitness without stressing your healing arm.

- Upper Body Movements: For exercises targeting the arms, such as arm circles or light resistance movements, it is crucial to ensure that you are not putting undue stress on your wrist or elbow. Start with very light movements and gradually increase the range of motion as tolerated.

- Listen to Your Body: Pay attention to any discomfort or pain during exercises. If you experience any unusual symptoms, it is best to stop and consult your physician or physical therapist.


3. Specific Exercises
You mentioned wanting to perform exercises like arm movements for toning and exercises for the waist and legs. Here are some recommendations:
- Arm Exercises: Focus on gentle movements that do not require lifting heavy weights. You can perform shoulder rolls, wrist circles, and gentle stretches. If you feel comfortable, you can gradually introduce light resistance bands or light weights, ensuring that you maintain proper form and avoid any pain.

- Core and Lower Body Workouts: Exercises like seated leg lifts, standing leg lifts, and core exercises (such as seated twists or pelvic tilts) can be performed without involving your arms significantly. These exercises can help maintain overall fitness while your arm continues to heal.

- Cardio: As mentioned, activities like brisk walking or cycling can be excellent for cardiovascular health without stressing your arm.


Conclusion
In summary, while you are on the path to recovery after your radius fracture surgery, it is essential to approach your rehabilitation with caution. Consult your orthopedic surgeon regarding the necessity of hardware removal and follow their advice on resuming physical activities. Start with low-impact aerobic exercises and gradually incorporate movements for your arms and core as your comfort and strength improve. Always listen to your body and prioritize your healing process to ensure a successful recovery.

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