Post-Surgery Complications After Rib Fracture Repair - Orthopedics

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Postoperative issues related to rib surgery?


Can I ask the doctor? I fractured three ribs on my left side due to a work injury.
I had surgery on October 9, and it has been three months since then.
For the past ten days, I've been experiencing a sensation of swelling and sometimes pain.
What could be the reason for this?

Wo jiao Mei Ling., 50~59 year old female. Ask Date: 2023/01/07

Dr. Wang Jiacheng reply Orthopedics


Wound swelling can lead to this condition; with adequate rest, it should improve in about four to six weeks.

Reply Date: 2023/01/07

More Info


After undergoing surgery for rib fractures, it is not uncommon to experience complications or lingering symptoms, especially in the weeks and months following the procedure. Rib fractures can be quite painful due to the proximity of the ribs to the lungs and other vital organs, and the surgical repair can also introduce its own set of complications.

In your case, having fractured three ribs and subsequently undergoing surgery on October 9, it has been three months since your operation. The swelling and pain you are experiencing could be attributed to several factors:
1. Post-Surgical Inflammation: After any surgical procedure, it is normal for the body to respond with inflammation. This is part of the healing process, but it can lead to swelling and discomfort. The rib cage is particularly sensitive, and the surgical manipulation of the ribs can exacerbate this response.

2. Fluid Accumulation: Sometimes, fluid can accumulate in the area surrounding the surgical site, leading to a condition known as a seroma. This can cause swelling and may be accompanied by pain. If the fluid is significant, it may require drainage.

3. Nerve Irritation: The surgical procedure may have irritated nearby nerves, which can lead to pain and a sensation of swelling. This is often described as a burning or tingling sensation and can persist for some time after surgery.

4. Infection: While less common, an infection at the surgical site can lead to increased swelling, redness, warmth, and pain. If you notice any signs of infection, such as fever or drainage from the incision site, it is crucial to seek medical attention promptly.

5. Delayed Healing: Rib fractures can take time to heal, and sometimes the healing process can be slower than expected. If the ribs are not healing properly, this could lead to ongoing pain and swelling.

6. Costochondritis: This is an inflammation of the cartilage that connects the ribs to the sternum. It can occur after rib fractures and can cause localized pain that may feel like swelling.

Given that you are experiencing persistent symptoms three months post-surgery, it is advisable to follow up with your orthopedic surgeon or healthcare provider. They may recommend imaging studies, such as an X-ray or CT scan, to assess the healing of the ribs and rule out any complications such as nonunion (where the bone does not heal properly) or infection.

In terms of management, your doctor may suggest pain management strategies, physical therapy, or other interventions to help alleviate your symptoms. Engaging in gentle exercises as tolerated can also promote healing and improve mobility, but it is essential to do this under the guidance of a healthcare professional.

In conclusion, while some swelling and pain can be expected after rib fracture surgery, persistent or worsening symptoms should be evaluated by a medical professional to ensure appropriate management and to rule out any serious complications. Your recovery is important, and addressing these concerns with your doctor will help you return to your normal activities safely.

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