Femoral fracture - The doctor said the screws can be removed?
Hello Dr.
Chang: I had a femoral fracture last January and underwent surgery to have two screws inserted (one in the knee and one in the hip, quite long).
During my follow-up appointment this week, the doctor reviewed the X-rays and said my recovery looks good, and I can have the screws removed.
He mentioned I could come in for the removal whenever I have time, but I forgot to ask if the removal requires hospitalization or if it can be done on an outpatient basis.
Also, will there be any impact on my walking after the removal? Can I ride a motorcycle, or will I need a cane? Are there any specific precautions I need to take after the screws are removed?
A-Huang, 20~29 year old female. Ask Date: 2010/08/28
Dr. Zhang Jiahao reply Orthopedics
Hello, Ah Huang: The description of having two screws fixed in the knee and buttocks is somewhat vague.
If the screws are located in a more superficial area, hospitalization may not be necessary.
I recommend discussing this further with your attending physician.
If you are currently walking normally, theoretically, you should be able to walk normally after the screws are removed.
Whether you need a cane or can ride a motorcycle will depend on your recent X-rays for proper assessment.
Thank you for your understanding!
Reply Date: 2010/08/28
More Info
After undergoing femur fracture surgery, the removal of pins or screws is a common concern for many patients. In your case, since your doctor has indicated that your recovery is progressing well and you are ready to have the pins removed, it’s essential to understand the process and implications of this procedure.
Removal Process
Typically, the removal of pins or screws can be performed in an outpatient setting, meaning you may not need to be hospitalized. This is often done under local anesthesia, which numbs the area around the incision site, allowing for a relatively quick and less invasive procedure. However, the specifics can vary based on the surgeon's preference and the complexity of your case. It’s advisable to confirm with your surgeon whether you will need to be admitted for the procedure or if it can be done in the clinic.
Post-Removal Considerations
After the pins are removed, you may experience some discomfort or swelling at the site of the incision. This is normal and can be managed with over-the-counter pain relief medications as advised by your doctor. The recovery time after pin removal is generally short, and many patients can resume their normal activities relatively quickly.
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Walking and Mobility
Regarding your ability to walk after the removal of the pins, most patients find that their mobility improves significantly once the hardware is taken out. However, it’s crucial to follow your surgeon's advice on when you can resume full weight-bearing activities. Initially, you may still need to use crutches or a walker for support, especially if you experience any pain or instability.
As for riding a motorcycle, this will depend on your comfort level and the advice of your healthcare provider. It’s essential to ensure that you have regained sufficient strength and stability in your leg before engaging in activities that require balance and coordination.
Precautions After Removal
After the removal of the pins, there are several precautions you should take:
1. Follow-Up Appointments: Attend all scheduled follow-up appointments to monitor your healing process.
2. Physical Therapy: If recommended, engage in physical therapy to strengthen the muscles around your femur and improve your range of motion.
3. Pain Management: Use prescribed or over-the-counter pain medications as needed, and apply ice to reduce swelling.
4. Watch for Complications: Be vigilant for signs of infection at the incision site, such as increased redness, swelling, or discharge. If you experience severe pain or any unusual symptoms, contact your healthcare provider immediately.
Conclusion
In summary, the removal of pins after femur fracture surgery is a significant step in your recovery journey. It is typically done in an outpatient setting, and while you may need some time to adjust post-removal, many patients find that their mobility improves significantly. Always follow your surgeon's recommendations regarding activity levels and rehabilitation to ensure a smooth recovery. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider for clarification.
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