Inflammation of wound after fracture surgery

Inflammation of wound after fracture surgery

There are always many accidents that happen to everyone in life, among which accidental injury and fracture are relatively common situations. Severe fractures require surgical intervention for treatment, and after bone surgery, patients must also pay great attention to the recovery of the wound at the fracture site. If you don't pay attention to recovery after fracture surgery, it is easy to leave many sequelae, but what should you do if there are signs of wound inflammation after fracture surgery?

Due to various reasons, wound inflammation often occurs after fracture surgery. Wound inflammation has a great impact on wound healing and seriously affects wound healing. If the inflammation cannot be controlled, infection and secondary bone infection may occur, endangering the patient's health. The following is a clinical treatment method for wound inflammation after fracture surgery:

Causes of inflammation in the wound after fracture surgery

Preoperative reasons: mainly because the wound preparation is simple, which produces more dirt, and some pollutants and bacteria are not thoroughly cleaned during the preoperative skin preparation. At the same time, if the timing of surgery is not good, the surgery is performed too early or the swelling is not reduced well, especially for patients with severe fracture injuries, the incision tension will be high after suturing, and inflammation is prone to occur after surgery.

Operation time: The longer the operation time, the greater the trauma to the patient's body and the longer the wound is exposed, which leads to a decrease in the body's resistance and makes the wound more susceptible to inflammation.

Doctor's reasons: If the doctor is not familiar with the surgical procedure and the operation takes a long time, resulting in repeated bleeding at the fracture site and edema of the skin and soft tissue, postoperative inflammation is likely to occur. Another problem is that medical staff lack a strong sense of responsibility and fail to change dressings in time after surgery, which can easily induce inflammation.

What to do if the wound becomes inflamed after fracture surgery

Generally, inflammation of the wound after fracture surgery should be detected and treated early. After the diagnosis is confirmed, sensitive antibiotics are used for treatment, generally for 7-14 days, with the patient having no fever, no redness, swelling, heat or pain in the incision, no exudation, and low white blood cell sedimentation rate and C-reactive protein. If the incision is obviously red and swollen, especially if there is fluctuation in the incision, remove some sutures in time to drain the accumulated fluid and pus. At the same time, change the dressing in time and try to avoid the dressing surface from getting wet. If it is ineffective, incision and debridement are required, and the internal fixation device should be removed. Anti-inflammatory treatment should be continued after surgery. The secretions should be repeatedly taken out for bacterial culture within 3-5 days. When the culture results show no bacterial growth, there is no redness, swelling, heat or pain in the incision, no exudation, and low white blood cell sedimentation rate and C-reactive protein, debridement and suture of the incision can be performed in the second stage. Continue to give anti-inflammatory drugs and change dressings. Stop antibiotics when the patient has no fever, the incision is not red, swollen, hot or painful, there is no exudate, the white blood cell count, erythrocyte sedimentation rate and C-reactive protein are not high, and there is no bacterial growth in culture. If the above methods still cannot provide good relief, you can consider using Yu's wound healing prescription for dressing change treatment, which has a good effect on inflammation-induced non-healing.

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