Can I Perform CPR After Humerus Fracture Surgery with Plate? - Orthopedics

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A humeral fracture is treated with internal fixation using a plate and seven screws?


I have a humeral fracture and underwent surgery last November.
By March 4th, the bone has healed, and I have started rehabilitation.
However, the plate has not yet reached the time for removal.
I told my rehabilitation physician that I will be returning to work at the hospital in May, but the doctor said that my hand cannot perform CPR, otherwise, it could break again! Is the bone really that fragile because of the plate? Is it true that I cannot perform CPR?

he, 20~29 year old female. Ask Date: 2014/03/26

Dr. Shi Guozheng reply Orthopedics


A humeral fracture typically takes about three months to heal, but to achieve a stable recovery, it may require around six months.
During this period, excessive force can lead to re-fracture, so caution is necessary.
The plate serves only to stabilize the fracture site, allowing it to heal gradually.
If the fracture has not yet healed, relying solely on the plate may result in it breaking again.

Reply Date: 2014/03/26

More Info


After undergoing humeral fracture surgery with plate fixation, it is understandable to have concerns about resuming activities such as CPR (Cardiopulmonary Resuscitation). The recovery process following such a surgery can vary significantly from person to person, depending on factors such as the extent of the injury, the type of surgical intervention, and individual healing rates.

In your case, since the surgery was performed in November and the bone has reportedly healed by March, you are likely in a better position to engage in physical activities. However, the presence of the plate can indeed affect the strength and stability of the bone, especially during the early phases of recovery. The plate is intended to provide support and stabilization while the bone heals, but it does not necessarily mean that the bone is as strong as it was prior to the fracture.

Your rehabilitation physician's caution regarding performing CPR is likely based on the risk of re-injury. CPR involves significant force, particularly during chest compressions, which can put stress on the arm and shoulder. If the bone has not fully regained its strength or if the plate is still in place, there is a possibility that excessive force could lead to complications, including the risk of refracture or damage to the surgical site.

It is essential to follow the advice of your healthcare provider, as they have a comprehensive understanding of your specific situation. If your physician has advised against performing CPR, it is likely for your safety. They may recommend waiting until the plate is removed or until you have completed a more extensive rehabilitation program that focuses on strengthening the muscles and bones around the surgical site.

In terms of the sensitivity and pain you are experiencing at the surgical site, it is not uncommon for individuals to feel discomfort or sensitivity around surgical scars, especially in the months following surgery. This can be due to nerve regeneration, scar tissue formation, or the healing process itself. It is important to communicate these sensations to your healthcare provider, as they can provide guidance on managing pain and sensitivity, as well as recommend appropriate rehabilitation exercises to improve strength and flexibility.

In summary, while your bone may have healed, the presence of the plate and the nature of CPR necessitate caution. It is crucial to adhere to your physician's recommendations and consider alternative ways to prepare for your CPR certification that do not put undue stress on your healing arm. Engaging in a gradual rehabilitation program that focuses on building strength and flexibility will be beneficial in the long run. Always consult with your healthcare provider before resuming any activities that could potentially jeopardize your recovery.

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