Post-Operative Instructions Missouri Sports Medicine Richard A. White, M.D. Carrie Lucas, FNP-BC 1100 Virginia Ave MOI 4th Floor Columbia, MO 65212 Office Phone: (573) 884-8484 Fax: (573) 884-9063 Office Hours: 8-5, Monday-Friday After hours call (573) 882-4141, ask for Ortho Resident on call www.drrickwhite.com Open-Reduction Internal-Fixation of a Scaphoid Fracture 1. Take pain medication routinely for the first night and the next day, then begin to take as needed and wean off. The pain medication given after surgery may cause constipation and it may necessitate the use of an over the counter stool softener or laxative. 2. Elevate operative extremity above heart to decrease swelling. Ice operative extremity up to 20 minutes every hour as needed for swelling control. 3. Keep splint clean and dry. 4. Wiggle fingers. No lifting, pushing or pulling. 5. Return clinic appointment will be scheduled at the time of surgery and will be approximately 10 to 14 days post-operative. 6. If you feel that your splint is too tight or experience symptoms of decreased circulation to your operative extremity such as numbness, tingling, excessive pain, coolness to touch, or any other symptoms of concern you should go to the emergency room and be seen IMMEDIATELY! 7. If any questions arise regarding fever, redness, swelling, drainage from incision, numbness, tingling, or uncontrolled pain, or any other concerns call office at (573) 884-8484 Monday through Friday 8:00 a.m. to 5:00 p.m. If an evening or weekend call (573) 882-4141 and ask to speak to the orthopaedic resident on call.