Clavicle fracture, early removal of the plate?
Hello Doctor, I was in a car accident at the end of September last year (103rd year) and fractured my clavicle (mid-shaft).
I underwent surgery to place a plate in early October, and everything went smoothly.
However, in February of this year (104th year), the area where the plate protruded caused skin abrasion, and the plate became exposed.
I had to get stitches twice, but they kept splitting open.
I decided to have the plate removed early at the end of March.
After reviewing the X-ray, there are still dark lines above the clavicle.
I would like to know if there are any special considerations for early removal of the plate.
The plate has been removed, and it has been 5-6 months since then.
Will the dark area heal, or will I need any additional treatment? Currently, I do not experience any pain, but I am hesitant to engage in vigorous activities or go to physical therapy.
Mr. Zhou, 20~29 year old female. Ask Date: 2015/04/20
Dr. Shi Guozheng reply Orthopedics
Currently, although there is no pain, it is important to monitor whether the fracture has completely healed.
If it has not healed, it may re-fracture.
Therefore, it is essential to protect the area and avoid putting too much strain on it.
X-ray examinations should be followed up approximately every three months.
If it has not healed after a year, reconsideration for another surgery to implant bone to promote healing may be necessary.
Remember that after a fracture, it is crucial to ensure complete healing before engaging in vigorous physical activity.
Reply Date: 2015/04/20
More Info
The early removal of a clavicle plate, especially after a fracture, is a significant decision that requires careful consideration of various factors. In your case, it seems that the plate was removed due to complications such as skin irritation and exposure, which can occur when hardware is in place for an extended period. Here are some key considerations and recovery tips following the removal of your clavicle plate.
Key Considerations
1. Healing Process: After the removal of the plate, the body will need time to heal. The area where the plate was removed may still have some underlying bone healing to do, especially if there were any visible cracks or dark areas on the X-ray. It is essential to monitor the healing process through follow-up X-rays as advised by your orthopedic surgeon.
2. Activity Level: While you mentioned that you are not experiencing pain, it is crucial to avoid overexerting yourself. Gradually increasing your activity level is advisable, but you should listen to your body and refrain from activities that cause discomfort or strain. Engaging in gentle range-of-motion exercises can help maintain mobility without risking further injury.
3. Physical Therapy: Although you expressed hesitation about physical therapy, it can be beneficial for your recovery. A physical therapist can provide tailored exercises that promote healing and strengthen the surrounding muscles without putting undue stress on the clavicle area. They can also help you regain confidence in your shoulder's functionality.
4. Monitoring for Complications: Keep an eye out for any signs of complications, such as increased swelling, redness, or warmth around the surgical site. If you notice any of these symptoms, or if you experience new pain, it is essential to contact your healthcare provider promptly.
5. Follow-Up Care: Regular follow-up appointments with your orthopedic surgeon are crucial. They will assess the healing process and determine if any further interventions are necessary. They can also provide guidance on when it is safe to resume more vigorous activities or sports.
Recovery Tips
- Gradual Return to Activities: Start with light activities and gradually increase intensity as tolerated. Avoid heavy lifting or overhead activities until cleared by your doctor.
- Pain Management: If you experience discomfort during your recovery, over-the-counter pain relievers may help. However, consult your doctor before taking any medication, especially if you have other health conditions or are on other medications.
- Nutrition: A balanced diet rich in calcium and vitamin D can support bone healing. Foods such as dairy products, leafy greens, and fortified foods can be beneficial.
- Stay Hydrated: Proper hydration is essential for overall health and can aid in the recovery process.
- Mental Health: Recovery from surgery can be mentally challenging. Engage in activities that you enjoy and consider talking to a professional if you feel anxious or depressed about your recovery.
In conclusion, while the early removal of your clavicle plate was necessary due to complications, it is essential to focus on a gradual recovery process. Pay attention to your body, engage in appropriate physical therapy, and maintain regular communication with your healthcare provider to ensure optimal healing. With time and care, the black area on your X-ray may heal, and you can regain full function of your shoulder.
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