Post-surgical wound discharge from a fracture repair site?
Hello Doctor, I had a closed femoral fracture from a car accident on December 28 last year.
I underwent surgery the next day, and on January 12, the doctor removed the stitches and said the wound was healing well.
However, last night, on February 12, a small hole suddenly opened up in the scar, leaking a mixture of blood and pus.
Tonight, while showering, another small hole appeared next to the same scar, releasing about a grain-sized amount of white pus, and subsequent pressure resulted in fresh blood.
Could this be a bacterial infection or osteomyelitis?
ken, 20~29 year old female. Ask Date: 2023/02/12
Dr. Wang Shouji reply Orthopedics
Hello, if the area is small and there is no significant wound pain, it may not necessarily be an infection.
However, if the wound is warm and painful, and you experience symptoms such as fever and chills, you should seek medical attention immediately.
It is advisable to visit a surgical hospital for a proper evaluation.
Changhua Hospital cares about your health.
Wang Shou-ji.
Reply Date: 2023/02/12
More Info
Post-surgery complications, particularly those involving pus and bleeding from a fracture scar, can be concerning and may indicate underlying issues such as infection or other complications. In your case, the sudden appearance of a small hole in the scar that is discharging a mixture of blood and pus is a sign that warrants immediate attention.
Firstly, it is essential to understand that after any surgical procedure, especially one involving fractures, the body goes through a healing process that can sometimes be complicated by infections. The presence of pus typically suggests that there is an infection, which could be localized to the skin or deeper tissues. The fact that you are experiencing bleeding alongside the pus could indicate that the infection is affecting the vascular structures in the area, or it could be a sign of a more severe complication.
Infections can occur for various reasons, including but not limited to:
1. Bacterial Infection: This is the most common cause of pus formation. Bacteria can enter through the surgical site, especially if proper wound care is not maintained.
2. Bone Infection (Osteomyelitis): If the infection spreads to the bone, it can lead to osteomyelitis, which is a serious condition that requires aggressive treatment, often including antibiotics and sometimes further surgical intervention.
3. Surgical Site Infection (SSI): This is a specific type of infection that occurs at the site of surgery. Symptoms can include redness, swelling, warmth, and discharge from the wound.
Given your symptoms, it is crucial to take the following steps:
- Seek Medical Attention: You should contact your surgeon or healthcare provider immediately. They may want to examine the wound to assess the extent of the infection and determine the appropriate treatment. This could include imaging studies to check for deeper infections or complications.
- Wound Care: Until you can see a healthcare provider, keep the area clean and dry. Avoid squeezing or manipulating the wound, as this can exacerbate the infection or push bacteria deeper into the tissue.
- Monitor Symptoms: Keep an eye on any additional symptoms such as fever, increased redness, swelling, or worsening pain, as these could indicate that the infection is spreading.
- Antibiotics: If an infection is confirmed, your doctor will likely prescribe antibiotics to help combat the infection. It is essential to complete the entire course of antibiotics as prescribed, even if you start to feel better.
- Follow-Up Care: Regular follow-up appointments are crucial after surgery, especially if complications arise. Your healthcare provider may need to drain any abscesses or perform additional procedures to ensure proper healing.
In summary, the symptoms you are experiencing are concerning and could indicate a bacterial infection or even osteomyelitis. Prompt medical evaluation is essential to determine the cause and initiate appropriate treatment. Early intervention can significantly improve outcomes and prevent further complications.
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