Post-operative issues following a clavicle fracture?
After undergoing surgery for a right clavicle fracture on June 20, if you stop using the arm sling after one week, could that cause the plate to shift? Is it safe to use the right hand for everyday activities such as eating and brushing teeth? Will larger movements like dressing or reaching behind the back affect postoperative recovery or cause the plate to shift? Thank you, doctor.
Lin, 20~29 year old female. Ask Date: 2023/07/03
Dr. Shi Guozheng reply Orthopedics
1.
If the fixation after fracture surgery is adequate, there will be no displacement.
2.
Avoid as much as possible.
3.
If the force exceeds what the plate can bear, displacement may occur.
Reply Date: 2023/07/03
More Info
After undergoing surgery for a right clavicle fracture on June 20, it's understandable to have concerns about recovery and the potential for complications, such as plate displacement. Here are some insights and recommendations based on your situation.
Recovery Timeline and Expectations:
Clavicle fractures typically heal within 6 to 12 weeks, depending on the severity of the fracture and the surgical intervention. After surgery, it is crucial to follow your surgeon's advice regarding activity restrictions and rehabilitation exercises. Initially, the use of a sling is recommended to immobilize the arm and allow the fracture site to stabilize. However, after one week, if your surgeon has advised you to discontinue the use of the sling, it may indicate that your initial healing is progressing well.
Concerns About Plate Displacement:
Regarding your concern about the steel plate potentially shifting, it is essential to understand that while some movement is expected during the healing process, excessive or forceful movements can indeed risk displacing the plate or disrupting the healing bone. Gentle, controlled movements are generally encouraged, but you should avoid any activities that involve heavy lifting or significant strain on the shoulder for at least the first few weeks post-surgery.
Daily Activities:
You can typically resume light daily activities such as eating and brushing your teeth with your right hand, provided these actions do not cause pain or discomfort. However, be cautious with larger movements, such as dressing or reaching behind your back, as these can put additional strain on the healing clavicle. It is advisable to perform these activities with care and to listen to your body. If you experience pain or discomfort, it may be a sign that you are overexerting yourself.
Rehabilitation and Physical Therapy:
Engaging in physical therapy is crucial for a successful recovery. A physical therapist can guide you through exercises that promote mobility and strength without compromising the healing process. They will tailor a rehabilitation program to your specific needs, gradually increasing the intensity as your healing progresses. Early rehabilitation can help prevent stiffness and improve your range of motion, but it should be done under professional supervision.
Monitoring for Complications:
Keep an eye out for any signs of complications, such as increased pain, swelling, or changes in the appearance of the shoulder. If you notice any unusual symptoms, it is essential to contact your healthcare provider promptly. Regular follow-up appointments with your surgeon will also help monitor your healing progress and address any concerns.
Conclusion:
In summary, while it is generally safe to engage in light daily activities after a week of surgery, you should remain cautious about larger movements that could strain the shoulder. Following your surgeon's and physical therapist's advice is crucial for a successful recovery. If you have any doubts or experience discomfort, do not hesitate to reach out to your healthcare provider for guidance. Your recovery is a process, and taking the right steps will help ensure a positive outcome.
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