Recovery from Right Shoulder Fracture Surgery: Key Questions Answered - Orthopedics

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Right shoulder humeral comminuted fracture?


Hello, Doctor! I sustained a comminuted fracture of the right humerus due to a sports accident on October 11, and I underwent ORIF (Open Reduction and Internal Fixation) surgery on October 12.
I would like to ask the following questions:
1.
Should I continue to wear the shoulder sling post-surgery?
2.
I am currently having difficulty lifting my right arm and need assistance from my left hand.
Is it possible to start rehabilitation now? How long does rehabilitation typically take for recovery?
3.
When can I return to work in an office setting?
4.
How long does the entire rehabilitation process usually take?
5.
Do I need to have the implanted titanium alloy material removed? Will the implanted material affect security checks when traveling abroad for work? Thank you for your answers, Doctor.

Mr. Lin, 30~39 year old female. Ask Date: 2021/10/25

Dr. Chen Yongxue reply Orthopedics


Hello, after undergoing internal fixation surgery for a comminuted humeral fracture on October 12th, I have a few questions:
1.
Should I continue to wear the shoulder sling post-surgery? In most cases, it is recommended to wear it for six weeks, unless it is a simple linear fracture.
2.
Currently, I am having difficulty lifting my right arm and need assistance from my left hand.
Can I start rehabilitation now? Generally, rehabilitation should continue for a certain duration before recovery.
At this stage, only passive movements should be performed with assistance from the other hand.
The goal of rehabilitation is to maintain joint range of motion through passive activities.
Active movements should not be rushed; it is best to wait until there are signs of fracture healing, which typically takes about 6 to 12 weeks, depending on the situation.
3.
When can I return to work in an office setting? For desk work, as long as the pain is manageable, I can resume activities without excessive movement.
4.
How long does the entire rehabilitation process usually take? It varies based on the patient's progress; those who can tolerate pain tend to progress faster.
5.
Should the implanted titanium alloy material be removed? Since I often travel abroad for work, will the implanted material affect security checks? It is personally recommended to have it removed, as customs security checks may trigger alerts.
It would be advisable to prepare an English medical certificate for verification.

Reply Date: 2021/10/25

More Info


Recovering from a right shoulder fracture, particularly after an open reduction and internal fixation (ORIF) surgery, can be a complex process that requires careful management and rehabilitation. Here are answers to your key questions based on your situation:
1. Should I continue to wear the shoulder sling after surgery?
Yes, it is generally recommended to wear a shoulder sling post-surgery, especially in the initial weeks following your ORIF procedure. The sling helps immobilize the shoulder, allowing the bones to heal properly and minimizing the risk of dislocation or further injury. Your orthopedic surgeon will provide specific guidance on how long you should wear the sling, which can vary based on the severity of the fracture and your individual healing progress.

2. I am having difficulty lifting my right arm and need assistance from my left hand. Can I start rehabilitation now? How long does rehabilitation typically take?
Rehabilitation usually begins soon after surgery, but the exact timing can depend on your surgeon's recommendations and your pain levels. In many cases, gentle range-of-motion exercises may be initiated within the first few weeks post-surgery to prevent stiffness. However, more intensive rehabilitation, including strength training, typically starts after the initial healing phase, which can last several weeks. The overall rehabilitation process can take anywhere from three to six months, depending on the complexity of your injury and your adherence to the rehabilitation program.

3. When can I return to work in an office setting?
The timeline for returning to work can vary significantly based on the nature of your job and how well you are recovering. If your office work does not require heavy lifting or extensive physical activity, you may be able to return within a few weeks post-surgery. However, if your job involves physical labor or requires full use of your shoulder, you may need to wait longer. It’s essential to discuss your specific work requirements with your surgeon to determine the best time for your return.

4. How long will the entire recovery process take?
Recovery from a shoulder fracture and subsequent surgery can be a lengthy process. Generally, you can expect a full recovery to take anywhere from three to six months, with some patients taking longer depending on their age, overall health, and the severity of the injury. Regular follow-ups with your orthopedic surgeon will help monitor your progress and adjust your rehabilitation plan as necessary.

5. Do I need to have the titanium implants removed? Will they affect airport security checks?
In most cases, titanium implants do not need to be removed unless there are complications such as infection or hardware failure. Titanium is biocompatible and generally well-tolerated by the body. Regarding airport security, titanium implants can sometimes trigger metal detectors, but most security personnel are trained to handle such situations. It is advisable to carry a medical card or documentation from your surgeon indicating that you have an implant, which can help facilitate the security process.

In summary, your recovery from a right shoulder fracture after ORIF surgery will involve a structured rehabilitation program, careful monitoring, and possibly some adjustments based on your progress. Always follow your surgeon's advice and communicate any concerns you may have during your recovery journey. Regular follow-ups will be crucial in ensuring that you regain full function of your shoulder and return to your normal activities safely.

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