Bone Health: Clavicle Surgery, Plate Removal, and Calcium Absorption - Orthopedics

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Calcium absorption, clavicle issues, and problems with metal implants?


Hello, doctor.
I underwent surgery for a right clavicle fracture on September 16, 2018.

1.
With the locking plate in place, will there be bone resorption over time? Will my bone be weaker than that of a normal person?
2.
If I have the plate removed, how long will it take to recover? If I use my left hand to lift heavy objects, will it harm my right clavicle?
3.
Are there any types of plates that do not need to be removed?
Thank you for your answers.

Junqiang, 20~29 year old female. Ask Date: 2018/10/27

Dr. Wang Shouji reply Orthopedics


Hello: 1.
Stainless steel plates, due to their hardness being greater than that of bone, may lead to stress shielding and subsequent bone loss issues, so they need to be removed.
Aluminum alloy is less likely to cause this problem.
2.
Generally, normal activities can be resumed about a month after removal, and using the left hand should not affect the right side.
3.
The use of absorbable bone plates should still be based on the physician's recommendation.
Wishing you safety, Wang Shou-ji, Changhua Hospital.

Reply Date: 2018/10/27

More Info


Hello! Thank you for your questions regarding your clavicle surgery and concerns about bone health. It's great that you're seeking information to better understand your recovery process and bone health.

1. Bone Density and Plate Insertion: After a clavicle fracture and subsequent surgery involving the insertion of a plate, there can be concerns about bone density around the area of the plate. Generally, the presence of a metal plate does not inherently cause bone loss; however, the surrounding bone may experience changes in density due to altered mechanical loading. The bone may not be as strong as it was prior to the fracture, especially if the fracture was severe or if there are complications during healing. It's important to engage in weight-bearing activities as tolerated, as this can help stimulate bone remodeling and maintain bone density.

2. Plate Removal and Recovery: The timeline for recovery after plate removal can vary significantly from person to person. Typically, after the removal of the plate, patients can expect a recovery period of several weeks to a few months. During this time, the bone will continue to heal and remodel. If you are using your left hand to lift heavy objects, it is crucial to be cautious. While lifting with your left hand should not directly harm your right clavicle, it can place stress on your shoulder and neck, which may indirectly affect your recovery. Always consult your orthopedic surgeon for personalized advice based on your specific situation.

3. Materials of Plates: There are various materials used for surgical plates, including stainless steel and titanium. Titanium plates are often favored for their strength, lightweight nature, and biocompatibility. Some titanium plates are designed to be bioresorbable, meaning they can dissolve over time and do not need to be removed. However, whether a plate can remain in the body without removal depends on the specific case and the surgeon's recommendation. It's essential to discuss with your surgeon the best options for your situation, including the potential benefits and risks of leaving the plate in place.

In addition to these points, it’s vital to maintain a healthy lifestyle to support bone health. This includes a balanced diet rich in calcium and vitamin D, regular weight-bearing exercises, and avoiding smoking and excessive alcohol consumption. If you have concerns about your calcium absorption, consider discussing this with your healthcare provider, as they may recommend dietary changes or supplements.

Overall, recovery from clavicle surgery can be a gradual process, and it’s essential to follow your surgeon's recommendations closely. Regular follow-ups and imaging studies may be necessary to monitor your healing progress. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider for guidance tailored to your specific needs. Wishing you a smooth recovery!

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