Nail problems
Hello doctor, my sister previously had a fracture in her leg and had a metal rod inserted.
I would like to ask if surgery is required to remove the rod.
If surgery is necessary, will she need to have a cast afterward?
Ai Mi, 20~29 year old female. Ask Date: 2018/04/14
Dr. Shi Guozheng reply Orthopedics
Removal of metal screws requires surgery but does not necessitate the use of a cast.
Reply Date: 2018/04/14
More Info
When it comes to the removal of bone pins, such as those used in orthopedic surgeries for fractures, the process can vary depending on several factors, including the type of pin used, the location of the fracture, and the individual patient's healing progress.
In general, the removal of bone pins is often performed as a surgical procedure, especially if the pins are not designed to be absorbed by the body. For instance, titanium pins, which are commonly used due to their strength and biocompatibility, typically remain in the body unless there are complications or specific reasons for removal. If the pins are causing discomfort, irritation, or if there is a risk of them moving out of position, a surgeon may recommend their removal.
The surgical removal of bone pins usually requires a minor surgical procedure. This can often be done on an outpatient basis, meaning that the patient can go home the same day. During the procedure, the surgeon will make a small incision over the area where the pin is located, and then carefully remove the pin. In many cases, the area may not require extensive immobilization afterward, but this depends on the specific situation and the surgeon's recommendations.
As for the need for a cast after pin removal, it is not always necessary. If the bone has healed sufficiently, the surgeon may allow for immediate movement and weight-bearing activities without a cast. However, if there is still some instability or if the bone needs additional support during the healing process, a splint or a cast may be applied temporarily.
It's important to note that the decision to remove bone pins should be made in consultation with the orthopedic surgeon. They will assess the healing progress of the bone, evaluate any symptoms the patient may be experiencing, and determine the best course of action.
In summary, while the removal of bone pins typically involves a surgical procedure, it is often straightforward and can be done with minimal recovery time. The need for a cast afterward will depend on the individual case and the surgeon's assessment of the bone's healing status. If your sister is experiencing any discomfort or has concerns about her pins, it would be advisable for her to discuss these with her orthopedic surgeon, who can provide personalized recommendations based on her specific situation.
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