Physical Rehabilitation Medicine/pins and rods

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Question
hope you can help me,im 80 years old and not a good candidate for surgery with diabetes and atrial fibberation for which I take elliquis a blood thinner.4 years ago I broke my right arm and the orthopedic put in metal rods with hinges and pins about 8 inches  on the other side of my arm opposite the forearm.now 4 years later area above elbow is swollen and light red.very sorebut no bad pain only tender with mild pain.i think a pin or metal rod is starting to  move closer to the skin.i don't think ita a infection when I touch red area feel no pain  only boney tissue.i don't want operation.will it stay the same or eventually  rupture thru skin.anything besides surgery,what happens if I do nothing and leave it alone with diabetes and blood thinners im not crazy for operation.only area that is inflamed is 4 inches above elbow lunp is a little smaller then golf ball.im chicken about operation and complatations.your advice is needed

Answer
It likely won't rupture through the skin but your MD can give you a local anesthetic and remove the hardware more than likely.  If it's prominent and the bone is well healed then it may be a matter of a small incision and then pulling it out.  Shouldn't be a big deal....but you know what they say - it's only a small surgery if it's someone else's surgery.

I hope this helps  

Physical Rehabilitation Medicine

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Brian Neville, OTR/L, CWCE

Expertise

I can answer questions about both conservative and post-operative rehabilitation for UPPER extremity injuries. These include but are not limited to: fractures, tendon repairs, tendon transfers, nerve repairs, lacerations, tenolysis procedures, TFCC injuries, repetitive motion disorders, reconstructive procedures. I have an advanced knowledge of UPPER extremity anatomy and industrial rehabilitation. I have extensive splinting skills for injuries to the upper extremity. Although not a physician or a surgeon I have worked closely with world renowned upper extremity specialists for over 10 years. I can give general information on what some of the most common upper extremity surgeries involve. I can reference those procedures as well. PLEASE DON'T ASK ME QUESTIONS ABOUT ANYTHING OTHER THAN THE NECK, SHOULDER, ARM/HAND. I'M NOT QUALIFIED AND KNOW ABSOLUTELY ZERO ABOUT BACKS/HIPS/KNEES/ANKLES/ETC. THANK YOU!!!

Experience

10+ years working closely with orthopedic and hand surgeons and their patients. I have treated patients with small lacerations to major reconstructive procedures. My knowledge base includes both conservative and post-operative rehab protocols and care for upper extremity injuries. I have treated patients all the way from day 1 post-op to return-to-work status.

Organizations
Kentucky Occupational Therapy Association American Society of Hand Therapy National Nurses in Business Association Roy Matheson and Associates

Publications
RSD article

Education/Credentials
Occupational Therapist former Certified Hand Therapist (license currently inactive) Deep Physical Agent Modalities Instructor Certified Work Capacity Evaluator

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