Should You Remove a Bone Plate After Healing? Key Considerations - Orthopedics

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When considering whether to remove a bone plate after healing, there are several key factors to take into account. The decision to remove or retain the hardware is often influenced by the nature of the injury, the type of fixation used, the patient’s age, activity level, and any symptoms that may arise post-surgery.

In your case, having sustained a comminuted fracture of the radius and a wrist dislocation, the use of a bone plate for internal fixation was a standard approach to ensure proper alignment and stabilization during the healing process. After a year of healing, it is understandable that your mother is concerned about the presence of the plate and whether it may cause future issues.


Key Considerations:
1. Healing and Stability: If your doctor has confirmed that the bones have healed properly and there are no complications, the bone plate may not need to be removed. In many cases, plates and screws can remain in the body without causing any issues. They are made of biocompatible materials, such as titanium, which are generally well-tolerated by the body.

2. Symptoms and Discomfort: If you are experiencing discomfort, pain, or limitations in mobility due to the plate, this could warrant a discussion about removal. Some patients report irritation or discomfort from the hardware, especially if they are physically active or if the plate is located near the skin surface.

3. Activity Level: At 17 years old, your body is still growing and developing. If you are engaged in sports or activities that put stress on your wrist, the presence of the plate could potentially lead to complications, such as irritation or even fracture around the hardware. If you plan to pursue high-impact activities, discussing the potential risks with your orthopedic surgeon is essential.

4. Potential Risks of Removal: While removing the plate can alleviate some concerns, it is not without risks. The procedure to remove the hardware involves surgery, which carries its own risks, including infection, nerve damage, and complications related to anesthesia. Additionally, there is a possibility that the removal process could lead to a re-fracture or complications in the healing of the surrounding tissues.

5. Long-term Considerations: In many cases, plates can remain in place indefinitely without causing problems. However, if there are concerns about long-term effects, such as the development of arthritis or chronic pain, these should be discussed with your healthcare provider. They can provide insights based on your specific case and the location of the hardware.

6. Follow-up and Monitoring: Regular follow-up appointments with your orthopedic surgeon are crucial. They can monitor your healing progress through physical examinations and imaging studies, ensuring that everything is functioning as it should. If any issues arise, they can address them promptly.


Conclusion:
In summary, the decision to remove a bone plate after healing is multifaceted and should be made in consultation with your orthopedic surgeon. If you are asymptomatic and your doctor has confirmed that your bones have healed well, it may be safe to leave the plate in place. However, if you have concerns about discomfort or future activities, it is essential to discuss these with your doctor to weigh the risks and benefits of removal. Ultimately, the goal is to ensure your long-term health and functionality while minimizing any potential complications.