Bruising Near Wound After Screw Removal: Is It Normal?

Bruising near the wound after the removal of metal screws?

Hello Doctor, I would like to ask you about my condition.
I fell down the stairs on August 14th, resulting in a fracture of the fifth metatarsal in my right foot.
I underwent surgery on August 15th to insert a screw (the type that protrudes externally).
During my follow-up appointment on September 24th, the doctor said that the screw could be removed.
After the removal, I have been experiencing a bruised sensation when pressing around the wound, including when I move my little toe and when I flex my foot upwards.
Is this a normal phenomenon? Additionally, the outer skin of my little toe is red, but it doesn’t hurt and there are no other symptoms.
Is this also considered normal? Thank you :)

Chou, 20~29 year old female. Ask Date: 2015/09/26

Dr. Chen Yongxue reply Orthopedics

Hello, as mentioned in the letter, it is considered normal during the initial weeks following a fracture.
Please have the surgeon follow up.
Thank you.

Reply Date: 2015/09/26

More Info

After undergoing surgery for a fractured fifth metatarsal and having the screws removed, experiencing bruising and tenderness near the surgical site can be concerning. However, it is important to understand that some degree of bruising and discomfort can be a normal part of the healing process following such procedures.

When screws or plates are removed from a bone, the surrounding soft tissues, including muscles, tendons, and ligaments, may still be healing. The surgical site can be sensitive, and the manipulation during the removal of the hardware can lead to localized bruising. Bruising occurs when small blood vessels are damaged, allowing blood to leak into the surrounding tissues. This can happen even if the surgery was performed without complications.

The tenderness you are experiencing when pressing on the area is also not uncommon. After surgery, the tissues can remain sensitive for some time as they heal. The fact that you feel discomfort when moving your little toe or when flexing your foot upwards indicates that the area is still recovering. It is essential to allow adequate time for healing and to follow your physician's recommendations regarding activity levels and rehabilitation exercises.

Regarding the redness on the outer side of your little toe, this could be due to several factors. It might be a normal part of the healing process, especially if there was any swelling or irritation from the surgical procedure. However, it is crucial to monitor this area for any signs of infection, such as increased redness, warmth, swelling, or discharge. If the redness persists or worsens, or if you develop any new symptoms, it would be wise to consult your healthcare provider for further evaluation.

In summary, while some bruising and tenderness after screw removal can be expected, it is essential to keep an eye on your symptoms. If you have any concerns about the healing process or if the symptoms do not improve over time, do not hesitate to reach out to your doctor. They can provide a thorough examination and determine if any additional treatment is necessary. Remember, proper follow-up care is vital for optimal recovery after orthopedic surgery.

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