Post-Surgery Complications: Pus and Bleeding from Fracture Scar - Orthopedics

Share to:

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.

Similar Q&A

Post-Surgery Issues After Clavicle Fracture: What to Expect

Hello Doctor, I had a clavicle fracture from a car accident at the end of last year, and I had the bone screws removed at the end of January this year. I have been using non-dissolvable sutures, but recently the wound has been leaking a fluid that resembles pus (it's clear w...


Dr. Shi Guozheng reply Orthopedics
The wound may have issues and requires a follow-up with a physician. Typically, a healing wound should not exude fluid or have red, inflamed skin, as these could be signs of infection.

[Read More] Post-Surgery Issues After Clavicle Fracture: What to Expect


Post-Surgery Concerns: Blood from Scar After Elbow Injury

Hello, it has been over a month since my surgery for an olecranon fracture. At that time, they used non-dissolvable sutures. I accidentally bumped the scar area, and my elbow hurt for about 1 to 2 minutes. The scar area is about the size of a small hole, and it bled a little but ...


Dr. Shi Guozheng reply Orthopedics
If the wound is not open, you can wait a while before returning for a follow-up. However, if the wound is significantly open, you should seek medical attention immediately to prevent infection and inflammation.

[Read More] Post-Surgery Concerns: Blood from Scar After Elbow Injury


Post-Surgery Wound Care: Managing Complications After Orthopedic Procedures

Hello, Recently, I was involved in a car accident that resulted in intracranial hemorrhage, a skull base fracture, head trauma, an open fracture of the first metatarsal in my right foot, and lacerations on both sides of my right heel that required suturing. I spent seven days i...


Dr. Wang Shouji reply Orthopedics
Hello, if there are abnormalities in the wound accompanied by fever, it is advised to return for a follow-up appointment immediately. If there are no outpatient services available, please go to the emergency department to confirm whether the issue is related to the wound or cause...

[Read More] Post-Surgery Wound Care: Managing Complications After Orthopedic Procedures


Post-Surgery Complications: Managing Infections After Tibia and Fibula Fractures

Hello Dr. Chen, three months ago I fell and fractured my tibia and fibula. I had surgery on both sides of my ankle, with two screws inserted on each side. One side is healing well, but the other side's wound has not yet healed and has developed two small holes that are now p...


Dr. Chen Bochen reply Orthopedics
Find a hospital for a blood test + consult with a surgeon (orthopedic specialist) to determine if there is an infection. If an infection is present, debridement treatment is necessary, as delaying treatment can lead to more severe complications. Wishing you a speedy recovery.

[Read More] Post-Surgery Complications: Managing Infections After Tibia and Fibula Fractures


Related FAQ

Post-Tibial Fracture Surgery

(Orthopedics)

Postoperative

(Orthopedics)

Bruising

(Surgery)

Wound

(Surgery)

Postoperative Care

(Surgery)

Scar

(Plastic Surgery)

Post-Clavicle Surgery

(Orthopedics)

Fracture

(Orthopedics)

Wounds From Car Accident

(Surgery)

Anal Bleeding

(Surgery)