Pelvic fracture
After undergoing open reduction surgery for a pelvic fracture, when can I take a shower? Is it safe for the wound to come into contact with water? Why did the doctor prescribe me gastric medication post-surgery? It has been four days since the surgery; what rehabilitation exercises can I do? Currently, I can sit at the edge of the bed and in a wheelchair.
Should I consider removing the fixation devices in my bones? Thank you.
A-Kun, 80~89 year old female. Ask Date: 2022/12/14
Dr. Shi Guozheng reply Orthopedics
1.
You can take a shower three days after the stitches are removed.
2.
When taking pain medication, it is sometimes necessary to take a gastric medication to prevent gastritis.
Additionally, after major surgery, gastric medication should be taken to prevent gastric ulcers.
3.
You can slightly move the joints.
4.
It may not be necessary to remove it.
Reply Date: 2022/12/14
More Info
After undergoing surgery for a pelvic fracture, it's crucial to follow your surgeon's guidelines regarding recovery and rehabilitation. Generally, the timeline for showering and engaging in various activities can vary based on the specifics of your surgery, your overall health, and how well your body is healing.
Showering After Pelvic Fracture Surgery
Typically, you may be able to shower about 3 to 5 days post-surgery, provided your surgical site is stable and your doctor has given you the green light. However, it is essential to keep the surgical area dry and protected from water until your doctor confirms that it is safe to allow water exposure. If you have stitches or staples, these usually need to remain dry until they are removed or until your doctor advises otherwise. You can use a waterproof cover or plastic wrap to protect the area while showering.
Why Are You Prescribed Stomach Medications?
Post-operative patients are often prescribed medications to prevent gastrointestinal issues, such as nausea or constipation, which can be common after surgery. Anesthesia and pain medications can slow down your digestive system, leading to discomfort. Therefore, your doctor may have prescribed a stomach medication to help mitigate these side effects and ensure you can eat and drink comfortably as you recover.
Rehabilitation Exercises
At four days post-surgery, your mobility may still be limited, but you can start with gentle movements as tolerated. Here are some general rehabilitation tips:
1. Breathing Exercises: Deep breathing can help prevent lung complications after surgery. Take deep breaths several times an hour.
2. Ankle Pumps: While lying in bed, move your feet up and down to promote circulation in your legs.
3. Leg Slides: While lying on your back, slide your heel toward your buttocks and then back out. This can help maintain some range of motion in your hips.
4. Seated Exercises: If you can sit at the edge of your bed or in a wheelchair, practice moving your legs gently or doing seated marches.
5. Assisted Standing: With assistance, practice standing up from a seated position to help build strength and confidence.
Always consult with your physical therapist or healthcare provider before starting any new exercises to ensure they are appropriate for your specific situation.
Should You Remove the Internal Fixation?
The decision to remove any internal fixation devices (like screws or plates) should be made by your orthopedic surgeon. In most cases, these devices are left in place unless they cause complications or discomfort. They are designed to support the healing process and are typically safe to remain in the body unless there are specific reasons to remove them.
Conclusion
In summary, you should wait for your doctor's approval before showering and ensure that your surgical site remains dry until it is safe to expose it to water. Medications prescribed post-surgery are often aimed at preventing gastrointestinal discomfort. Engage in gentle rehabilitation exercises as tolerated, and consult your healthcare provider regarding the internal fixation devices. Recovery from a pelvic fracture can be a gradual process, so patience and adherence to medical advice are key to a successful outcome.
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