Elbow joint
A year ago, I had a fracture in my elbow joint and had a plate inserted for stabilization.
Now that a year has passed, can the plate be removed? I experience pain whenever I bump into the plate or when I exercise, as it puts pressure on the plate.
I want to have it removed, but I'm concerned about the potential complications from surgery.
Xiao Guang, 20~29 year old female. Ask Date: 2017/12/11
Dr. Shi Guozheng reply Orthopedics
If it is confirmed that the fracture has healed, the metal plate can be removed.
Reply Date: 2017/12/11
More Info
Yes, you can typically have the plate removed from your elbow after a year, provided that your fracture has healed properly. The decision to remove the plate should be based on several factors, including the healing status of the bone, the presence of any ongoing symptoms, and the potential risks associated with the surgery.
Understanding the Risks
1. Surgical Risks: As with any surgical procedure, there are inherent risks involved in removing a plate. These include infection, bleeding, and nerve or blood vessel damage. However, the risks are generally lower for plate removal compared to the initial surgery for fracture fixation.
2. Postoperative Pain: Many patients report that the pain associated with the removal of the plate is less intense than the pain experienced during the initial surgery. However, some discomfort is expected during the recovery period.
3. Scar Tissue Formation: There is a possibility of scar tissue forming around the surgical site, which could lead to stiffness or limited range of motion. This is particularly relevant in elbow surgeries, where mobility is crucial.
4. Recurrence of Symptoms: If the plate was initially placed due to a complex fracture, there is a chance that symptoms may recur after removal, especially if the underlying joint or soft tissue structures were affected.
Recovery Process
1. Immediate Recovery: After the surgery, you may experience swelling and discomfort, which can be managed with ice and pain medications. Most patients are able to return home the same day or the following day.
2. Timeframe for Recovery: The initial recovery period typically lasts about two weeks, during which you may need to limit activities and avoid heavy lifting. Most patients can resume light activities, such as typing or using a computer, within a week, but this can vary based on individual healing.
3. Physical Therapy: While some patients may not require formal rehabilitation after plate removal, others may benefit from physical therapy to regain strength and range of motion. This is particularly important if you experience stiffness or if the elbow was immobilized for an extended period.
4. Long-term Considerations: After the plate is removed, many patients find that their symptoms improve significantly. However, it is essential to follow your surgeon's advice regarding activity restrictions and rehabilitation exercises to ensure optimal recovery.
Conclusion
In summary, if your elbow has healed well and you are experiencing discomfort due to the plate, it is reasonable to consider its removal. Discuss your concerns and symptoms with your orthopedic surgeon, who can provide personalized advice based on your specific situation. They will evaluate the risks and benefits of the procedure and help you make an informed decision. Remember, the goal is to alleviate your pain and restore function to your elbow, allowing you to return to your normal activities without discomfort.
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