Post-Surgery Complications: Seeking Help for Joint Issues - Orthopedics

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It sounds like you are experiencing significant complications following your surgery for comminuted fractures of the wrist and ankle. The fact that you had hardware (screws or plates) placed during your initial surgery, and now you are facing issues with the bone growing around the hardware, is concerning. This situation can lead to stiffness, pain, and a loss of function in the affected joints.


Understanding Your Condition
When bones are fractured, especially in a comminuted manner (where the bone is broken into several pieces), surgical intervention often involves the use of hardware to stabilize the bones during the healing process. However, in some cases, complications can arise, such as:
1. Osteophyte Formation: This is when bone grows around the hardware, which can lead to stiffness and limited range of motion.

2. Hardware-related Issues: Sometimes, the hardware can irritate surrounding tissues or become encapsulated by bone, leading to pain and dysfunction.

3. Joint Stiffness: After surgery, especially if immobilization was required, joints can become stiff and lose their range of motion.


Recommended Actions
1. Consult an Orthopedic Surgeon: Given your situation, it is crucial to consult with an orthopedic surgeon who specializes in joint and fracture management. They will be able to assess the extent of the issue with imaging studies (like X-rays or MRIs) and determine the best course of action.

2. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can help you with exercises designed to improve strength and range of motion in your wrist and ankle. They can also provide modalities to manage pain and inflammation.

3. Consider Revision Surgery: If the bone is indeed encasing the hardware and causing significant functional impairment, your orthopedic surgeon may discuss the possibility of a revision surgery. This could involve removing the hardware or addressing the bone growth that is causing the issue.

4. Pain Management: In the meantime, managing your pain is essential. Over-the-counter pain relievers or prescribed medications can help alleviate discomfort. Discuss with your doctor about the best options for your situation.

5. Regular Follow-ups: Keep regular follow-up appointments with your orthopedic surgeon to monitor your condition and adjust your treatment plan as necessary.


Conclusion
Your situation requires careful evaluation and management. It is essential to address the complications you are experiencing to prevent further deterioration of your joint function. By consulting with an orthopedic specialist and possibly engaging in physical therapy, you can work towards regaining strength and mobility in your affected joints. Remember, early intervention is key to improving outcomes in cases like yours.