![]() If your child’s K-wires and backslab have been removed, keep any dressings dry for 24 hours.Depending on your child’s injury, sometimes a new backslab or full cast is applied for a further three weeks after the K-wires are removed.Ĭare at home after the K-wires are removed.For elbow injuries, a sling is usually applied and worn for up to two days after the procedure or until your child feels comfortable enough to start moving the limb on their own.Once the bleeding stops, the wounds will be covered with a clear dressing. Once the wires are pulled, there will be tiny wounds (called pin sites) which may bleed, so a gauze dressing will be applied with some pressure for 30–60 seconds. Your child may feel tugging, along with some very brief discomfort.This is usually very quick – each wire removal only takes one to two seconds. The dressing over the wires is then taken off and the wires are rotated and removed.A soft blue plastic shield is then placed in such as way so that your child cannot easily see the wires (e.g.A full cast (if used) will be removed with a cast remover, which is a machine that splits the hard part of the cast, but doesn’t cut through the Partial casts (backslabs or ready-made splints) can be removed simply by unwrapping the bandage. Clear explanations and reassurance will be given by the team and you are encouraged to help comfort and reassure your child. Throughout the procedure, your doctor or a nurse will use distraction techniques to help reduce stress for your child. Nurofen) 30 minutes prior to their appointment time. We recommend you give your child a dose of paracetamol (e.g.You should arrive ahead of your appointment to allow time for your child to have an X-ray. An X-ray may be performed first (you will be told if your doctor has requested this), followed by a visit to the orthopaedic doctor.If your child likes a particular book, video or game, it is useful to bring this with you to the appointment so that it can be used to distract your child from the procedure.In rare cases light sedation is available but your child will have to fast from food and drink for a minimum of two hours ahead of time, however the majority of patients can have successful removal of K-wires without sedation. You can check what supports are available with your treating hospital or medical team. Therapist or Comfort Kids team member may be available to provide strategies to alleviate procedure-related anxiety. For patients of The Royal Children’s Hospital, a child life ![]() If you think your child (or you as a parent/carer) will be particularly anxious or worried and need additional support during the procedure, please let your doctor know before your appointment. Your child will have an appointment scheduled three to four weeks after surgery so that the K-wires can be removed. a bad smell or ooze coming from the cast. ![]() increased pain, or pain that you cannot control with simple pain relief (especially new pain that starts two to three weeks after surgery.Of infection, you should contact your doctor or treating hospital: ![]() If your child shows any of the following signs Irritation where the wires exit the skin is common, but infection is rare (about one in one hundred patients).
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