Advice on pin / wire removal after humerus / upper arm fracture in a 9 year old

Jody - posted on 04/06/2010 ( 3 moms have responded )

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My daughter broke her upper arm just above the elbow and had surgery to reset the bone and pins inserted to hold them in place. My question is about the removal of the wires in 3 weeks. They commonly do them in above 5's in the Outpatients Department. They can also do them under a general. I am concerned about pain levels and just how traumatic this may be for her? Does anyone have any experience with these types of pin removals in children and some much needed advice?!

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Jody - posted on 10/13/2015

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Update: Hubby broke his hand and had two wires inserted in surgery and later removed in outpatients. He said it was horrible and excrutiating! Don't put your kids through this in the Drs rooms! Request surg - it's a 10 min procedure!

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Jody - posted on 04/06/2010

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Thanks Louise! I watched some uploaded videos on the internet and was not that impressed by the whole thing for kids! She has been through so much already and I don't really want the memory of it to bother her! Doctors seem to blow the whole thing off which I find annoying and I can't seem to get a direct answer to my question - will it hurt?! I haven't fully decided but I am leaning towards a general as my own memories of tooth extraction at 12 still haunt me!!

Louise - posted on 04/06/2010

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You know your child the best. If you think she is brave enough to let them remove the wires then avoiding a general anethetic is better. If your daughter is protective of her arm and wont let anybody touch it then a general is a better idea as she will panic and the removal of the wires on a wriggling child is virtually impossible. The pain is on the actual pulling through the skin of the wires as you are opening up an old cut. If she has had the operation to put the pins in that I thnk she has had then the wires pertrude through the skin. Ask the hospital how they remove the wires. If they use the moisten method where warm water is placed over the wires to dampen the scuds making it much less painful to tug the wire through. Any way you know your daughter far better than they do so insist on making the choice yourself. Good luck

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