Recurrent Infections After Clavicle Fracture Surgery

Recurrent infection after clavicle fracture surgery?

Hello Doctor: My boyfriend had a clavicle fracture and underwent surgery after a car accident.
The doctor recommended using out-of-pocket materials.
About a week after the surgery (during the transfer from the intensive care unit to a regular ward), we noticed continuous bleeding from the wound.
Later, the orthopedic surgeon came to check and decided to perform another surgery on the day he was originally scheduled to be discharged, stating it was a debridement procedure.
After the debridement, a drainage tube was placed to remove blood, which was removed two days later, and he was cleared for discharge.
However, on the same day of discharge, we were informed that the wound was infected with E.
coli and he needed to stay in the hospital for antibiotic treatment.
During this time, we did not touch his wound, so why did the infection recur? How can we prevent this in the future? The doctor mentioned that if there is no improvement, another surgery may be needed to remove the bone screws or plate.
Recently, there have been news reports about substandard medical materials, and we are worried about how to ensure that we are not using any of those.
The orthopedic surgeon who performed the surgery is very busy and often leaves before we can ask questions.
What should we do in this situation? Thank you, Doctor.

Jing, 20~29 year old female. Ask Date: 2012/08/11

Dr. Li Wenlin reply Orthopedics

Wounds from car accidents are more susceptible to infection.
You can schedule an appointment with the physician through the nursing station to discuss your condition and also inquire about any concerns you may have regarding medical supplies.

Reply Date: 2012/08/11

More Info

Recurrent infections following clavicle fracture surgery can be a frustrating and concerning issue for both patients and their families. Understanding the potential causes of these infections and the preventive measures that can be taken is crucial for ensuring a smoother recovery process.

Firstly, it’s important to recognize that surgical wounds, particularly those involving fractures, are susceptible to infection due to several factors. The presence of foreign materials, such as plates and screws used for stabilization, can increase the risk of infection. Additionally, if the surgical site experiences any form of contamination during or after the procedure, it can lead to bacterial growth. In your boyfriend's case, the infection was identified as being caused by E. coli, which is typically found in the intestines and can enter the wound through various means, including improper sterile techniques during surgery or post-operative care.

The fact that your boyfriend experienced continuous bleeding and required a second surgery for debridement indicates that there may have been complications during the initial surgery. Bleeding can create a hematoma, which is a collection of blood outside of blood vessels, and this can serve as a breeding ground for bacteria. Furthermore, if the wound was not adequately closed or if there was tension on the wound edges, it could have contributed to the infection.

To prevent recurrent infections, several strategies can be employed:
1. Wound Care: Ensure that the surgical site is kept clean and dry. Follow the surgeon's instructions regarding dressing changes and avoid touching the wound unnecessarily. If there are any signs of infection, such as increased redness, swelling, or discharge, seek medical attention promptly.

2. Antibiotic Prophylaxis: Discuss with the orthopedic surgeon the possibility of using prophylactic antibiotics, especially if there are risk factors for infection, such as diabetes or immunocompromised states.

3. Nutrition and Health: A well-balanced diet rich in vitamins and minerals, particularly vitamin C and zinc, can support wound healing. Staying hydrated and maintaining overall health can also bolster the immune system.

4. Follow-Up Care: Regular follow-up appointments with the orthopedic surgeon are essential. If the surgeon is busy and unable to answer questions, consider requesting a dedicated appointment or speaking with a nurse or physician's assistant who may have more time to address your concerns.

5. Material Safety: Regarding concerns about the quality of the surgical materials used, it is advisable to discuss this directly with the surgeon. They can provide information about the materials used and their safety records. If there are specific concerns about the manufacturer, you may also want to research or ask about the materials’ certifications and any recalls.

6. Infection Monitoring: After surgery, be vigilant about monitoring for signs of infection. If your boyfriend experiences symptoms such as fever, increased pain, or unusual discharge from the wound, it is crucial to contact the healthcare provider immediately.

In conclusion, recurrent infections after clavicle fracture surgery can arise from various factors, including surgical technique, wound care, and the presence of foreign materials. By taking proactive measures in wound care, nutrition, and communication with healthcare providers, the risk of further infections can be minimized. If concerns about the surgical materials persist, do not hesitate to seek a second opinion or consult with a specialist in orthopedic surgery.

Similar Q&A

Post-Surgery Complications: Persistent Hematoma After Clavicle Fracture Repair

A 20-year-old male sustained a comminuted fracture of the clavicle due to a motorcycle accident. He underwent surgery with a self-paid titanium clavicle plate. Five days post-operation, the wound continued to exhibit serosanguinous drainage (bruising). Since it was outside of reg...

Dr. Shi Guozheng reply Orthopedics
If there is bruising coming from the wound, it is necessary to change the dressing and keep it clean to prevent infection. Typically, the wound will heal within seven to fourteen days.

Complications After Clavicle Surgery: What to Do When Pins Fail?

Hello, I would like to ask a question. My friend had clavicle screws inserted a year ago (or opted for better screws at their own expense). After the surgery, they were only given a sling for support, without a figure-eight bandage. They have been returning for regular check-ups,...

Dr. Shi Guozheng reply Orthopedics
After the fixation of a fracture, there may be instances where, after a period of time, the removal of the bone screws can lead to a re-fracture, which may require another surgical procedure for improvement.

Managing Poor Wound Healing After Clavicle Fracture Surgery

Hello Doctor: I have fractured my left clavicle twice due to car accidents. The first fracture was at the distal end (November 3, 2014), for which I underwent surgery that involved self-paying for internal fixation with a steel pin and artificial ligament; the steel pin does not ...

Dr. Hong Ximing reply Orthopedics
Multiple fractures of the clavicle have resulted in poor skin healing after surgery. The subcutaneous tissue in that area is relatively thin, but circulation is good. However, due to the inability to assess the actual condition of the wound, a definitive judgment cannot be made. ...

Post-Surgery Infection After Fracture: Risks and Treatment Options

Hello, doctor! My father had a left leg fracture from a car accident. After surgery, he developed an infection at the wound site, and it took about a month and a half for the wound to heal. It has been four months since the accident, and during a follow-up visit, the doctor infor...

Dr. Chen Yongxue reply Orthopedics
Hello: After a fracture surgery, the biggest concern is infection, which can lead to osteomyelitis, a serious complication. Both situations can result in nonunion at the fracture site. If a fracture does not heal, it is essential to first address the infection, and then assess th...