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Surgical removal of hardware for internal fixation of broken bones is one of the most often performed orthopedic surgeries in the western world. A total of 180,000 hardware removal surgeries were performed in Germany in the year 2010, making it the 4th most common surgical process in orthopedic surgery after fixation of the surgical fracture, arthroscopies as well as intervertebral disc interventions.
There is a constant debate concerning the justification of elective surgical orthopedic implant removal. The indication for Trauma Implant removal is unquestioned in patients with infection at the surgical site, metal allergy, soft tissue compromise or failure of the osteosynthesis.
However, the advantages of relative indications like the intended improvement of function, pain sensation or foreign body, the spatial limitation for future surgical processes or plainly the desire of patient for hardware removal haven’t yet sufficiently been explored in detail.
In a study by Hanson in 2008 which surveyed 730 attendees of the Masters Course of Operative Fracture Treatment and AO Principles in Davos, Switzerland, 380 of 655 surgeons (58%) didn’t agree that routine implant removal is essential and 48% felt that removal is riskier than leaving the implant in situ. This possibly was mainly influenced by numerous complications which may occur during and after operative implant removal.
Commonly observed complications after hardware removal are impaired wound healing, infections, tissue and nerve damage, refractures and post-operative bleeding or an unfinished removal. There is some proof indicating that the postoperative complication rate relies on the specific localization of the implanted material. Though, inter-individual differences are significant as well as published data still lacks consistency. Thus, general recommendations can’t yet be established.
The satisfaction of patient after implant removal is related to the associated complications of surgery and the risk to reward equation needs thorough investigation and evaluation based on factual data.
After the effects of Anesthesia:
- It is likely that you feel a little off for 1 day or 2 after the surgery. During that time, you shouldn’t drink alcoholic beverages, make any significant decisions or involve in any potentially hazardous activities. It’s very common to be a little nauseated, and you should initiate with a light, low-fat diet until your appetite restores.
- It’s not uncommon for some blood to show through on the dressing. If bleeding seems to be ongoing after the first twelve hours and the area is larger than 2 inches or so, it would be advisable to seek medical help.
- The dressing should cover the wounds and support the ARM but shouldn’t feel overly tight or uncomfortable. If it seems so tight, you may loosen it yourself if you’re comfortable with that. If not, seek help from the doctor.
- The sling is for your comfort. It’s okay to remove it and move your wrist, elbow, and hand as desired.
- The dressing may be removed in 2 days and reapply to utilize 4 x 4 sterile gauze and micropore tape.
- A long-acting local anesthetic is injected into the arm after surgery and often wears off 6 to 12 hours later but can last as much as 36 hours. The surgeons use orthopedic implants to perform surgery, that is provided by orthopedic implant manufacturers.
- The interval for taking pain medicines should be as advised by the Doctor and in no case should you take a higher dose than advised. You can take the medicine less frequently than on the prescription if you aren’t in pain.
This medicine should be taken to relieve pain, not for its prevention. You shouldn’t set your alarm clock to remind you to take your pain medicine, nor should you take it on a set schedule, even if you’re not hurting, as this may result in overdosing on the medication.
- The elevation is the best method to decrease your pain and swelling. The best method to elevate at night is to hug a pillow and utilize it to keep your wrist elevated.
- You aren’t to use your injured arm to carry or lift anything heavier than a cup of coffee. It’s okay to move your arm and your shoulder immediately. One of the goals of surgery is to enable you to work on getting your shoulder again moving. Surgery is performed by an experienced surgeon using orthopedic instruments.
- If your car has an automatic transmission, you can drive in case of an emergency with a hand after consulting the Doctor.
- You should be mechanically able to do the things required to drive. We can’t tell you what would happen if you did something that hurt and result in your losing concentration. You must take your own judgment to know whether you are safe to drive.
- You can’t drive if you’re taking narcotic medications for relieving your pain.
- It is a must to have a post-op check-up by treating Surgeon.
Reasons to Call/ Contact Doctor: (Please measure with an oral thermometer)
- Fever greater than 101.5. (It’s very common to have a low-grade fever the first night or second after surgery)
- Swelling or redness that is spreading from the edges of the incisions.
- Pain that is out of control or worsening and not relieved by elevation, rest, ice and pain medicines.
- Shortness of breath and chest pain.
Recovery from orthopedic surgery may take a lot of time, but there are some tips you may follow to expedite the process. Here are some of the basic nevertheless effective tips for recovering fast from an orthopedic surgery:
1. Strictly Follow Post-Operation Instructions
Immediately after the surgery, you would have got some instructions from your orthopedic surgeon and advise to meet a physical therapist to start a rehabilitation program. It is important to follow the instructions as well as recommendations of the doctor/physician and do not hesitate to ask questions if you do not understand what you are asked to do.
2. Frequently Attend Your Follow Up Appointments
It is important to get your progress monitored by the doctor/physician and get your plan customized and tweaked if there is a requirement.
3. Perform Rehabilitation Exercises
Your physician will determine your rehab program based upon your condition and set your exercise progression depending upon your improvement. Again, for the best results, it is important to follow strictly as suggested by your physician.
4. Get Proper Nutrition
Eating well after surgery will positively help your body heal quicker. Some of the foods that doctors/physician suggest includes lean protein (chicken, red meat or fish), dairy, and fresh citrus based upon the kind of surgery you have gone through. Vegetables are nutrient-rich, thus keep in mind to eat plenty of green leafy plants such as spinach.
5. Sleep Tight
When we sleep our body repairs tissues which promote healing, thus be sure to get at least 8 hours of quality sleep each night.
6. Take Proper Medication
After surgery, you must have been prescribed some type of pain medicine. Talk to your doctor about how and when to have these medicines, and if you should increase some multivitamins or other supplements to your everyday rehabilitation plan. Do not take a higher dosage of medicine or increase the frequency of your pain medicine without consulting the Doctor.
7. Ask for Help
After surgery, you will be less mobile and will possibly require help with your everyday activities. Do not hesitate to request for help from your friends and family.
Siora Surgicals is India’s one of the most trusted manufacturers and supplier of Orthopaedic Implant. We utilize technologically advanced machining and finishing capabilities for the manufacturing of Orthopedic implants and surgical instruments.