Recovery Timeline After Titanium Plate Removal for Distal Radius Fracture

After the removal of the plate for distal radius fracture fixation, how long can one start to engage in activities?

I have a distal radius fracture that has healed, and I have scheduled an appointment at National Taiwan University in late June this year to remove the locked compression titanium alloy plate and screws.
I would like to ask Dr.
Shi the following questions:
1.
I heard that locked compression titanium alloy plates are more difficult to remove than stainless steel plates.
Is this true?
2.
How long after the removal of the screws can I start activities such as typing?
3.
After the initial surgery where the plate was placed, I underwent passive flexion and extension rehabilitation for my wrist.
Should I also wait two weeks after the screw removal to start rehabilitation after the stitches are removed?
4.
Will I still need to wear a wrist brace after the screw removal?
5.
How long does it typically take for the screw holes to heal?
6.
Lastly, after the plate surgery, I experienced persistent numbness in my palm that only improved after more than three months.
The doctor informed me that this was due to damage to the palmar branch of the median nerve, which is a common occurrence with this type of surgery.
I was told it usually recovers on its own.
Is it really difficult to avoid this issue? I am concerned that I might encounter the same problem after the screw removal surgery.
Since I still have some slight numbness, should I consider performing nerve release during the screw removal procedure?
I apologize for the detailed questions, and I appreciate your time in responding.
Thank you!

Xiao Yuan, 30~39 year old female. Ask Date: 2017/06/01

Dr. Shi Guozheng reply Orthopedics

1.
It can usually be extracted.

2.
Approximately 2 to 4 weeks.

3.
Yes.

4.
It is best to bring someone with you.

5.
Around three.

6.
Typically not, but for detailed information, you should consult your attending physician.

Reply Date: 2017/06/01

More Info

After undergoing a distal radius fracture surgery and the subsequent removal of a locking compression titanium plate, it is essential to understand the recovery timeline and the considerations involved in your rehabilitation process. Here’s a detailed overview based on your questions and the general medical knowledge regarding such procedures.

1. Difficulty of Removal: It is true that locking compression titanium plates can be more challenging to remove than stainless steel plates. This is primarily due to the design and the way they integrate with the bone. Titanium is known for its strength and biocompatibility, but the locking mechanism can sometimes create a more complex removal process. However, your surgeon will be experienced in this procedure, and they will take the necessary precautions to ensure a smooth removal.

2. Resuming Activities: After the removal of the plate, you can typically expect to wait about 2 to 4 weeks before resuming activities such as typing. This timeframe allows for initial healing of the soft tissues and any inflammation to subside. However, individual recovery can vary based on factors such as your overall health, the extent of the surgery, and how well you follow post-operative care instructions.

3. Rehabilitation Post-Removal: It is advisable to wait until your stitches are removed (usually around 1 to 2 weeks post-surgery) before starting active rehabilitation exercises. This waiting period helps ensure that the surgical site is healing properly and reduces the risk of complications. Once cleared by your physician, you can begin gentle range-of-motion exercises to regain mobility in your wrist.

4. Wearing a Wrist Brace: After the removal of the plate, wearing a wrist brace is often recommended, especially in the initial weeks. This provides support and protection to the healing tissues and helps prevent excessive movement that could lead to complications. Your doctor will provide specific guidance on how long you should wear the brace based on your recovery progress.

5. Healing of Screw Holes: The screw holes from the plate removal will generally take about 6 to 12 weeks to heal adequately. During this time, it is crucial to avoid putting excessive stress on the wrist to allow for proper healing. Your surgeon may schedule follow-up appointments to monitor your recovery and ensure that everything is healing as expected.

6. Nerve Sensitivity and Concerns: The numbness you experienced in your palm due to median nerve involvement is not uncommon after such surgeries. Nerve irritation or damage can occur during the procedure, and while many patients recover over time, some may experience lingering symptoms. It is essential to communicate your concerns with your surgeon, especially regarding the possibility of nerve release during the plate removal. If the numbness persists or worsens, your doctor may recommend further evaluation or interventions to address the nerve issue.

In conclusion, while the recovery process after the removal of a titanium plate can be challenging, following your surgeon's advice and engaging in a structured rehabilitation program will significantly enhance your recovery. Always keep an open line of communication with your healthcare provider regarding any concerns or unusual symptoms you may experience during your recovery. They are your best resource for personalized advice tailored to your specific situation.

Similar Q&A

Understanding Steel Plate Removal After Radius and Ulnar Fractures

Hello Doctor, thank you for your response. I had a surgery for a distal radius fracture last June, and there are steel plates inserted near my wrist with sutured wounds on both sides. About a year has passed, but I still have difficulty with internal rotation of my right hand. Co...

Dr. Li Yongheng reply Orthopedics
Hello, it has been over a year since your right ulnar and radial fracture surgery, but there is still some limitation in the rotation of your right hand. This may be more related to the injuries caused by the force of the fracture at that time, and the likelihood of the two metal...

Recovery Timeline for Distal Radius Fracture After Surgery

I had a car accident on April 28, resulting in a distal radius fracture in my left wrist. I underwent surgery to have a titanium alloy plate inserted at my own expense. It has been 11 days since the surgery, and I would like to ask the doctor how long it will take before I can ri...

Dr. Chen Yongxue reply Orthopedics
Hello, the action of "riding a bike" is manageable, but pulling the bike requires too much strength. Additionally, in case of an emergency, your wrist is not suitable for exerting force. Therefore, it is advisable not to take any risks for the next two months. Thank you...

Recovery Timeline for Distal Radius Fracture Surgery: What to Expect

How long after surgery for a distal radius fracture can one expect to return to normal function without any residual symptoms?

Dr. Hong Ximing reply Orthopedics
Distal radius fractures need to be assessed based on the severity of the fracture and its impact on joint function. Generally, fractures heal within 8 to 10 weeks, but the presence of any sequelae will depend on subsequent rehabilitation.

Impact of Distal Radius Fracture with Steel Implant on Wrist Recovery

Does having a steel pin implanted for a distal radius fracture affect the bone quality at the injury site, especially since the fracture is close to the wrist joint? How long will it take for the wrist to regain normal function? It has been 5 months since the injury, and my wrist...

Dr. Shi Guozheng reply Orthopedics
Rehabilitation can help it recover, and the process is usually not too slow. Typically, such fractures require at least a three-month recovery period, which may extend up to six months.