Impact of Retained Humeral Plate on Recovery: Can Full Motion Be Regained? - Orthopedics

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The recovery process after a humeral fracture and subsequent surgical intervention, such as the insertion of a plate, can vary significantly from person to person. In your case, it appears that you have made some progress in your rehabilitation, but there are still limitations in your range of motion, particularly in raising your arm to the side.
Firstly, it is important to understand that the presence of a retained humeral plate can influence recovery. While many patients do regain full motion after such surgeries, the timeline and extent of recovery can be affected by several factors, including the nature of the injury, the surgical technique used, and the individual’s adherence to rehabilitation protocols. The fact that you are currently able to raise your arm to eye level is a positive sign, but the limitation in side elevation to about 45 degrees indicates that there is still work to be done.

Regarding the concerns about the plate, it is true that some patients and therapists believe that retaining hardware can limit full recovery of motion. This is often due to the potential for scar tissue formation around the plate or the plate itself creating a physical barrier to full range of motion. However, many orthopedic surgeons believe that if the plate is not causing pain or discomfort, it can remain in place without significantly hindering recovery. The decision to remove the plate is often based on the patient’s symptoms and the surgeon’s assessment of the healing process.

In terms of rehabilitation, it is crucial to continue with your physical therapy and any prescribed exercises. Physical therapy can help improve flexibility, strength, and overall function of the shoulder. Stretching exercises, in particular, can be beneficial in addressing tightness and improving range of motion. It is also important to communicate openly with your physical therapist about your concerns and progress. They can adjust your rehabilitation program to better suit your needs and help you work towards regaining as much motion as possible.

In addition to physical therapy, modalities such as acupuncture may provide additional benefits in terms of pain relief and promoting healing. However, it is essential to ensure that any complementary therapies do not interfere with your rehabilitation program.

As you continue your recovery, keep in mind that patience is key. Healing from a fracture and regaining full motion can take time, and it is not uncommon for patients to experience fluctuations in their progress. Regular follow-ups with your orthopedic surgeon can help monitor your healing and determine if any adjustments to your treatment plan are necessary.

In summary, while the retained humeral plate may pose some challenges, it is possible to regain significant motion with diligent rehabilitation. Continue to work closely with your healthcare team, adhere to your therapy regimen, and maintain realistic expectations about your recovery timeline. With time and effort, you may find that your range of motion improves, allowing you to return to your previous level of function.