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Does Removal Of Tension Band Wiring From Elbow Require A Surgery?

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Posted on Tue, 15 Mar 2016
Question: Hi, I am an 28 year old male. I had a comminuted fracture of olecranon process of left elbow, because of fell from a speeding bike. I had ORIF and Tension Band Wiring on 16-July-2015. Now my surgeon asked me to remove that. I have following questions.


1. How many stitches, I can expect?.

2. Will the surgery be under sedation or anesthesia?.

3. When they will remove stitches?.

4. How many days, I have to take rest?.

5. When I can start movement of hand?

6. When can I start start weight lifting , driving car & riding bike?.

7. Will there be any risk of elbow stiffnes?. I undergone manipulation twice after ORIF in order to gain range of motion. Still I have to gain 10 degree more, for complete extension.

8. Is there any need of physio therapy after removal of Implant?.

Expecting your reply

Thank You.
doctor
Answered by Dr. Dr. Praveen Tayal (1 hour later)
Brief Answer:
It is a small surgery and wound heals in a week or two.

Detailed Answer:
Hello,
Thanks for posting your query.
1. The removal of tension band wiring involves a smaller incision and lesser number of stitches that you had when it was put in. It depends on the length of wire that was inserted. Usually 4-5 stitches.
2. Can be done under sedation also but anaesthesia is a better option.
3. The stitches will be removed after 10-12 days.
4. No rest is needed after the surgery.
5. You can start moving the hand after the pain subsides in few days.
6. You can start it after a week.
7. No more manipulation is needed now.
8. No physiotherapy is needed after the removal.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Praveen Tayal (26 hours later)
Hi Doctor, Thanks for reply.

I have following follow-up questions,

1. I have to achieve 10 degree more in extension to achieve full range of extension. What can I do for that after surgery?.

2. How much time usually this surgery take?

3. Is there any precautions, I have to take after Implant removal surgery?.

Expecting your reply.

Thank You.
doctor
Answered by Dr. Dr. Praveen Tayal (3 hours later)
Brief Answer:
Details below.

Detailed Answer:
1. To have full extension after the surgery you need to have regular physiotherapy and stretching exercises for your elbow.
2. The surgery takes 20 minutes to 35 minutes usually.
3. No specific precautions needed. Just avoid any source of infection at the site of wound till it heals properly.
Regards.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12315 Questions

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Does Removal Of Tension Band Wiring From Elbow Require A Surgery?

Brief Answer: It is a small surgery and wound heals in a week or two. Detailed Answer: Hello, Thanks for posting your query. 1. The removal of tension band wiring involves a smaller incision and lesser number of stitches that you had when it was put in. It depends on the length of wire that was inserted. Usually 4-5 stitches. 2. Can be done under sedation also but anaesthesia is a better option. 3. The stitches will be removed after 10-12 days. 4. No rest is needed after the surgery. 5. You can start moving the hand after the pain subsides in few days. 6. You can start it after a week. 7. No more manipulation is needed now. 8. No physiotherapy is needed after the removal. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal