Should You Remove Surgical Plates and Screws After Ankle Surgery? - Orthopedics

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When it comes to the decision of whether to remove surgical plates and screws after ankle surgery, there are several factors to consider, especially in the context of your recent surgery for a fibula fracture and tibial displacement.
Firstly, it is important to recognize that surgical plates and screws are often used to stabilize fractures and promote healing. In your case, the use of nine screws and one plate indicates a significant injury that required substantial support during the healing process. Generally, once the bone has healed adequately, the need for these hardware components can be re-evaluated.

One of the primary reasons for considering the removal of surgical hardware is the potential for discomfort or complications associated with the presence of foreign materials in the body. You mentioned experiencing small red rashes and ulcers near the surgical site, which could indicate a reaction to the metal or an infection. If these symptoms persist or worsen, it may warrant a discussion with your orthopedic surgeon about the possibility of removing the hardware.

In younger patients, such as yourself at 30 years old, there is often a stronger inclination to remove hardware after the healing process is complete. This is because younger individuals tend to have a higher activity level and may be more sensitive to the presence of metal implants. The rationale is that the hardware can sometimes cause discomfort, limit range of motion, or even lead to complications such as irritation of surrounding tissues.
However, the decision to remove the hardware should be made on a case-by-case basis. If the hardware is not causing any pain or functional limitations, many surgeons may recommend leaving it in place, especially since modern surgical materials, like titanium, are biocompatible and generally well-tolerated by the body.
In your situation, since you opted for a plate that does not require removal, it suggests that your surgeon believed it would be beneficial for your recovery. If you are experiencing adverse reactions, it is crucial to communicate this with your healthcare provider. They may suggest imaging studies to assess the healing of the bone and the condition of the surrounding tissues.
If the decision is made to remove the hardware, it is typically done after the bone has fully healed, which can take anywhere from several months to a year, depending on the individual and the nature of the injury. The removal procedure is usually straightforward, but it does involve some risks, including infection and the need for rehabilitation afterward.

In summary, while there are valid reasons to consider the removal of surgical plates and screws, especially in younger patients, the decision should be based on your specific circumstances, including any symptoms you are experiencing. It is essential to have an open dialogue with your orthopedic surgeon to weigh the benefits and risks of hardware removal in your case. Your health and comfort should always be the priority in making such decisions.