Post-Surgery Concerns After Clavicle Fracture: Recovery and Care Tips - Orthopedics

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Postoperative Issues After Clavicle Surgery


Hello Doctor: I would like to ask about my condition.
On October 27th of this year, I had a motorcycle accident that resulted in a right clavicle fracture.
I underwent surgery to implant a titanium alloy plate.
It has been about a month since the surgery, and I currently feel tightness in my shoulder and can feel one or two particularly tight tendons.
The doctor said I can perform shoulder abduction, but when I lift my arm, I experience pain in the scapula at the back, and I also feel slight numbness near the upper right chest close to the armpit.
I would like to know if I still need to wear a sling at this point.
I'm concerned that not wearing it might cause misalignment.
Additionally, will I need to have the titanium plate removed later? Thank you, Doctor.

A-Ming, 40~49 year old female. Ask Date: 2021/11/29

Dr. Wang Shouji reply Orthopedics


Hello, six weeks after the clavicle fracture surgery, most of the time you can avoid using the sling, but you should not bear weight.
It is still important to monitor the healing status of the fracture.
If there is no significant callus formation, you should avoid extending activities at large angles and bearing weight to prevent the plate from breaking or misaligning.
Changhua Hospital cares about your health.
Wang Shou-ji.

Reply Date: 2021/11/29

More Info


After a clavicle fracture and subsequent surgery, it is common for patients to experience discomfort, tightness, and some limitations in shoulder mobility. Given your situation, where you are about a month post-surgery with a titanium plate implanted, it's important to address your concerns regarding recovery, care, and rehabilitation.


Recovery and Care Tips:
1. Pain Management: It's normal to experience pain and tightness in the shoulder and surrounding areas after surgery. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort. However, always consult your physician before taking any medication.

2. Physical Therapy: Engaging in physical therapy is crucial for regaining strength and mobility in your shoulder. A physical therapist can provide you with tailored exercises that focus on improving range of motion and strengthening the muscles around your shoulder. Since you mentioned feeling tightness and pain when lifting your arm, it’s essential to communicate these symptoms to your therapist so they can adjust your rehabilitation program accordingly.

3. Mobility Exercises: While your doctor has advised that you can perform certain movements, it’s important to start slowly. Gentle range-of-motion exercises can help alleviate tightness. For instance, pendulum exercises or wall crawls can be beneficial. Avoid any movements that cause significant pain or discomfort.

4. Use of a Sling: The use of a sling or triangular bandage is often recommended for a period following surgery to provide support and limit movement. If your doctor has advised that you can stop using the sling, it’s generally safe to do so as long as you are not experiencing significant pain or instability. However, if you feel more comfortable with the sling, you can continue to use it during activities that may strain your shoulder.

5. Signs of Complications: Be vigilant for any signs of complications, such as increased swelling, redness, or warmth around the surgical site, or any new symptoms like fever or increased pain. If you experience these, contact your healthcare provider immediately.

6. Follow-Up Appointments: Regular follow-up appointments with your orthopedic surgeon are essential. They will monitor your healing process and determine when it is appropriate to remove the titanium plate. In many cases, the plate can remain in place indefinitely unless it causes discomfort or complications. Your surgeon will make this decision based on your healing progress and any symptoms you may have.

7. Nutrition and Healing: Proper nutrition plays a vital role in bone healing. Ensure you are consuming a balanced diet rich in calcium and vitamin D, which are essential for bone health. Foods such as dairy products, leafy greens, fish, and fortified cereals can help support your recovery.

8. Gradual Return to Activities: As you progress in your recovery, gradually return to your normal activities. Avoid high-impact sports or activities that could risk re-injury until you have fully healed and received clearance from your doctor.


Conclusion:
In summary, your recovery from a clavicle fracture involves a combination of pain management, physical therapy, and careful monitoring of your symptoms. It is essential to follow your doctor's advice regarding the use of a sling and to communicate any concerns you have during your recovery. By adhering to a structured rehabilitation program and maintaining a healthy diet, you can optimize your healing process and regain full function of your shoulder. Always remember to consult your healthcare provider for personalized advice and to address any specific concerns you may have.

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