Method for Removing Steel Pins
Hello, doctor.
I would like to ask if it is possible to use absorbable sutures for wound closure during the removal of metal screws.
If this is feasible, would it shorten the wound healing time and allow the wound to be exposed to water sooner? If it is possible, does this mean that postoperative rehabilitation can begin immediately after surgery, or should we wait for the swelling in the hand and fingers to subside? Thank you.
Ying, 20~29 year old female. Ask Date: 2015/09/20
Dr. Shi Guozheng reply Orthopedics
It is possible to use a non-removable suture technique, where the sutures remain inside the body and are gradually absorbed.
If a removable suture technique is used, that is also acceptable, as the wound healing speed is similar.
After surgery, if the wound is relatively painless, rehabilitation can begin.
Reply Date: 2015/09/20
More Info
When it comes to the removal of steel plates or screws after orthopedic surgery, the choice of sutures used for closing the incision can indeed impact the healing process. Absorbable sutures, also known as dissolvable sutures, can be used for this type of surgery, and they offer several advantages.
First, absorbable sutures eliminate the need for a follow-up appointment to remove stitches, which can be particularly beneficial for patients who may have difficulty returning to the clinic. These sutures are designed to break down over time, typically within a few weeks to months, depending on the type used. This can be advantageous in terms of convenience and reducing the risk of infection associated with suture removal.
Regarding the healing speed of the wound, using absorbable sutures does not necessarily shorten the healing time of the incision itself. The healing of the skin and underlying tissues is primarily determined by the body's natural healing processes, which can be influenced by factors such as the patient's overall health, age, nutrition, and the extent of the surgical procedure. However, absorbable sutures can provide adequate support during the initial healing phase, allowing for a secure closure of the incision.
As for exposure to water, it is generally advised to keep surgical wounds dry for a certain period post-operation to minimize the risk of infection. While absorbable sutures can be submerged in water once the incision has sufficiently healed, it is crucial to follow your surgeon's specific instructions regarding when it is safe to do so. Typically, this may be around 7 to 10 days post-surgery, but it can vary based on individual circumstances.
Regarding rehabilitation, it is essential to wait until any swelling in the hand and fingers has subsided before starting physical therapy or rehabilitation exercises. Swelling can impede movement and may lead to complications if exercises are initiated too early. Your surgeon will provide guidance on when it is appropriate to begin rehabilitation based on your specific situation, including the extent of the surgery and your healing progress.
In conclusion, absorbable sutures can be a suitable option for closing incisions after steel plate removal surgery. They offer convenience and can support the healing process, but they do not necessarily speed up the healing time. It is crucial to adhere to your surgeon's post-operative care instructions, including when to resume activities such as water exposure and rehabilitation exercises. Always consult with your healthcare provider for personalized advice tailored to your specific condition and recovery plan.
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