Pin Removal After Open Radius Fracture Surgery

Removal of bone screws

Doctor, I had an open fracture of the right radius today and had a bone graft, so I went to have the screws removed.
A total of three screws were removed, and there are two wounds about 1 to 2 centimeters in size.
How long until I can have the stitches removed? Since my wounds are currently covered, what happens if I sweat?

Pei Ying, 10~19 year old female. Ask Date: 2015/09/04

Dr. Shi Guozheng reply Orthopedics

The dressing can be removed in about seven to ten days.
You can use a damp towel to wipe the skin, but avoid touching the wound.
After that, you can reapply the medication without any issues.

Reply Date: 2015/09/04

More Info

After undergoing surgery for an open radius fracture, the removal of pins is a significant step in the recovery process. It indicates that the bone has healed sufficiently to allow for the removal of internal fixation devices, which were used to stabilize the fracture during the healing period. In your case, since you had three pins removed and two incisions of about 1-2 cm each, it’s essential to follow proper post-operative care to ensure optimal healing.

Typically, stitches or sutures are removed about 7 to 14 days after surgery, depending on the type of sutures used and the healing progress of the incision sites. If your doctor has not specified a timeline for suture removal, it is advisable to schedule a follow-up appointment to assess the healing of your wounds. During this visit, your doctor can evaluate the condition of the incisions and determine the appropriate time for suture removal.
Regarding your concern about sweating, it is crucial to keep the incision sites clean and dry. If your wounds are covered and you begin to sweat, moisture can accumulate under the dressing, creating an environment conducive to infection. If you notice any signs of increased redness, swelling, or discharge from the incision sites, it is essential to contact your healthcare provider immediately. They may recommend changing the dressing more frequently or provide specific instructions on how to care for the area while it heals.

In the weeks following pin removal, you may experience some discomfort or tenderness around the incision sites. This is normal as the body continues to heal. It is also common to have some stiffness in the wrist and hand after immobilization. Engaging in gentle range-of-motion exercises, as advised by your healthcare provider or physical therapist, can help restore mobility and strength to the affected area.
As for your overall recovery, it is essential to adhere to any rehabilitation protocols provided by your healthcare team. They may recommend physical therapy to help regain strength and function in your wrist and hand. The timeline for returning to normal activities can vary based on the severity of the fracture, the surgical technique used, and your overall health. Generally, most patients can expect to gradually resume normal activities within a few weeks to a few months after pin removal, but this should be guided by your healthcare provider.

In summary, ensure you follow up with your doctor for suture removal and monitor your incision sites for any signs of complications. Maintain good hygiene to prevent infection, and engage in rehabilitation exercises as recommended to facilitate a smooth recovery. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice.

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