Post-Surgery Stitch Removal for Elderly Hip Fracture Patients

Postoperative suture removal after fracture surgery in the elderly?

Hello, my grandmother is 96 years old and underwent internal fixation surgery for a fracture (left hip joint) on January 5th.
The stitches are scheduled to be removed on January 20th.
I would like to know if it is possible to delay the stitch removal by one week.
Thank you!

Qiu Mu Xiao, 40~49 year old female. Ask Date: 2022/01/15

Dr. You Dianqi reply Orthopedics

Hello Ms.
Chiu! An online consultation may not allow for a detailed assessment of your family member.
It is recommended that you schedule an appointment to consult with the original attending (surgical) physician.
Thank you!

Reply Date: 2022/01/15

More Info

When it comes to post-surgery care for elderly patients, especially those who have undergone hip surgery, there are several factors to consider regarding stitch removal and overall recovery. In your grandmother's case, she is 96 years old and had a hip fracture repair on January 5, with a scheduled stitch removal on January 20. You are inquiring whether it is acceptable to delay the stitch removal by a week.

Firstly, it is essential to understand that the timing of stitch removal is generally determined by the type of surgery, the healing process, and the specific instructions given by the surgeon. In most cases, stitches are removed within 10 to 14 days post-surgery, depending on how well the incision is healing. If the stitches are left in for too long, there is a risk of infection or complications, especially in elderly patients who may have slower healing processes due to age-related factors.

If you are considering delaying the stitch removal, it is crucial to consult with the surgeon or the healthcare provider responsible for your grandmother's care. They will assess the surgical site to determine if it is healing properly and if there are any signs of infection, such as redness, swelling, or discharge. If the incision appears to be healing well, the surgeon may agree to a slight delay, but this should only be done under medical supervision.

In elderly patients, the risk of complications can be higher, and their bodies may respond differently to surgical interventions. Therefore, it is vital to monitor your grandmother's overall health and any potential signs of complications. If she experiences increased pain, swelling, or any unusual symptoms, it is essential to seek medical attention promptly.

Additionally, after stitch removal, the focus should shift to rehabilitation and recovery. Physical therapy is often recommended to help regain strength and mobility in the hip joint. The recovery process can vary significantly among individuals, especially in older adults, so patience and adherence to the rehabilitation plan are crucial.

In summary, while it may be possible to delay stitch removal by a week, it is essential to consult with the healthcare provider to ensure that it is safe to do so. Monitoring the healing process and being vigilant for any signs of complications will help ensure your grandmother's recovery is as smooth as possible. Always prioritize communication with the medical team to make informed decisions regarding her care.

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