Hardware removal Surgery PoSt-oPerative inStructionS
Bleeding through the dressing is normal. Expect some reddish staining of the splint near the surgical site. An ACE wrap with additional gauze pads may be used to cover this up and reinforce the dressing/splint. You maybe bear weight on the leg or arm as tolerated unless instructed otherwise. Elevate the extremity on 2-3 pillows as much as possible the first two weeks. Ice helps with swelling and any pain. On your first visit in approximately 2 weeks after your surgery, we will remove the splint and stitches You might want to practice driving in a parking lot before getting on the road in traffic. This is also
something your therapist may help you with. I will not be able to fully assess your ability to drive of course, but usually around this time patients are able to do so safely. You may drive once your brake reaction time is adequate, a brace should be worn and the boot should be put back on once you leave the vehicle.
Vitamin E capsules may be crushed and applied to the wound to improve the scar. Alternatively,
you may use lotion containing Vitamin E, Cocoa Butter, and Aloe Vera and massage 3 – 4 times per day after the wound is completely healed. This can be purchased at Wal-Mart or other stores.
Keeping the scars covered with antibiotic ointment and a bandage can reduce the size of the scar
Vitamins C (5000 mg), D3 (4000 I.U.), and calcium (1200mg) daily in divided doses, will assist in
Constipation may occur with calcium and pain medication. Senokot-S can be purchased over the
counter in most drug stores for this problem. A high fiber diet and/or Metamucil may also help with constipation. Some people have itching with pain medication. This is usually what is called ‘an opioid reaction’. Try Benadryl OTC (25mg) up to three times a day for this or Claritin (OTC) 10mg if the Benadryl makes you too sleepy. If the itching persists, we can switch the pain medication.
Showering is OK once you are out of the initial splint or the casts. Please be gentle and do not scrub this area. Do not soak the wounds in a tub until 1 month after surgery. If you do shower, please maintain the weight-bearing status consistent with the time-period you are in.
This may require a shower seat (please let us know).
Dry the wound with a hair dryer on cool or pat dry with a towel. Do not clean wounds with peroxide nor
dr. warner’S Policy on nSaid medication
NSAID = Non-Steroidal Anti-Inflammatory DrugsAleve, Naproxen, Naprosyn, Ibuprofen, Advil, Motrin, Etc…
DO NOT TAKE NSAIDs UNTIL 6 WEEKS AFTER SURGERY UNLESS I GIVE YOU PERMISSION TO DO SO.
This is very important. Many scientific studies have shown us that this type of medicine dramatically slows down and weakens healing. If you hurt, take your pain medication we prescribed. and elevation. If you have swelling, use ice and elevation.
Thank you and we look forward to a great recovery for you!
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