What should be closely monitored post-operatively in a patient after bone fixation?

Close monitoring of signs of infection and neurovascular status is crucial after bone fixation surgery. This is because surgical wounds are at risk for infection, which can significantly impact healing and lead to complications. Signs of infection may include increased redness, swelling, warmth around the surgical site, pus discharge, fever, and increased pain.

Neurovascular status refers to the assessment of blood flow and nerve function to the affected limb. This is essential to ensure there is no compromise in the circulation or nerve pathways due to swelling, blood clots, or other complications that can arise after surgery. Monitoring includes checking for capillary refill, pulse strength, sensation, and movement in the extremity.

While range of motion and muscle mass are important in the rehabilitation phase, they are not the immediate concerns post-surgery. Heart rate and blood pressure are vital signs, but they are more generalized assessments that may not pinpoint specific post-operative complications as directly as monitoring for infection and neurovascular status. Weight and dietary intake, while relevant for overall recovery, are less critical in the immediate post-operative context compared to the risks associated with infection and neurovascular problems.