Recovery After Humerus Fracture Surgery: What to Expect - Orthopedics

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After undergoing humerus fracture surgery with internal fixation, it is understandable to have concerns about recovery and the limitations you are experiencing. Given that you had your surgery ten months ago, it is important to recognize that recovery from a humeral fracture can vary significantly from person to person, depending on factors such as the severity of the fracture, the type of surgical intervention, and individual healing responses.

Firstly, the range of motion you describe—being able to reach only to your waist and having difficulty with overhead movements—can be a common occurrence after such an injury and surgery. The shoulder joint is complex, and after a fracture, it may take time for the surrounding muscles, tendons, and ligaments to regain strength and flexibility. It is not unusual for patients to experience limitations in shoulder mobility for several months post-surgery, especially if there was significant trauma to the area or if the fracture was severe.

Regarding your specific concerns:
1. Is it normal to have limited range of motion? Yes, it can be normal to have limited range of motion ten months post-surgery, especially if you have not been able to engage in a consistent rehabilitation program. Factors such as stiffness, muscle atrophy, and scar tissue formation can contribute to these limitations. It is important to continue working on your range of motion through physical therapy, as this can help improve your flexibility and strength over time.

2. What to expect after hardware removal? If your orthopedic surgeon recommends the removal of the internal fixation hardware (the steel pins), it is likely that you will need to undergo rehabilitation afterward. The removal of the hardware can sometimes lead to a temporary increase in discomfort or stiffness, but it is also an opportunity to regain function without the constraints of the hardware. Rehabilitation after hardware removal typically focuses on restoring strength, flexibility, and functional movement patterns.

3. Recovery timeline post-hardware removal: The recovery period after the removal of hardware can vary. Generally, patients may need several weeks to a few months of rehabilitation to regain full function. The timeline will depend on your individual healing process, the extent of any stiffness or weakness, and your commitment to rehabilitation exercises. Your physical therapist will be able to provide a more tailored recovery plan based on your specific situation.

4. Importance of physical therapy: Engaging in physical therapy is crucial for your recovery. A physical therapist can guide you through exercises designed to improve your range of motion, strengthen the shoulder muscles, and reduce stiffness. They may also employ modalities such as ultrasound or electrical stimulation to aid in recovery. Consistent therapy can significantly enhance your functional outcomes and help you regain the ability to perform daily activities, such as reaching overhead or fastening your bra.

In conclusion, while it is not uncommon to experience limitations in shoulder mobility ten months after humerus fracture surgery, it is essential to actively engage in rehabilitation to improve your condition. If you have not already done so, consider consulting with your orthopedic surgeon or a physical therapist for a comprehensive evaluation and personalized rehabilitation plan. They can help address your concerns, assess your current range of motion, and provide strategies to enhance your recovery. Remember, patience and persistence are key components of the rehabilitation process, and with time and effort, you can achieve significant improvements in your shoulder function.