Clavicle Screw Removal: Anesthesia Options, Hospital Stay, and Recovery Time - Orthopedics

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Removal of metal plates after clavicle fracture?


Last October, I had a car accident that resulted in my clavicle being fractured in two pieces with a displacement.
I underwent surgery where health insurance covered the insertion of bone screws.
A year later, I am going back to have them removed.
1.
I would like to ask whether the removal of the clavicle screws requires general anesthesia or regional anesthesia.
2.
Will I need to be hospitalized? 3.
How long should I expect to rest after the removal? Thank you, doctor.
🙏

Miss Hsu, 10~19 year old female. Ask Date: 2021/07/16

Dr. Wang Shouji reply Orthopedics


Hello, the procedure involves general anesthesia, and most patients are hospitalized for one day.
It is recommended to rest for at least one month and avoid heavy lifting.
Changhua Hospital cares about your health.
Wang Shou-ji.

Reply Date: 2021/07/16

More Info


When it comes to clavicle screw removal, there are several important considerations regarding anesthesia options, hospital stay, and recovery time.
1. Anesthesia Options: The choice of anesthesia for clavicle screw removal typically depends on the complexity of the procedure and the patient's overall health. In most cases, this procedure can be performed under local anesthesia with sedation or general anesthesia. Local anesthesia involves numbing the area around the clavicle while the patient remains awake, which can be beneficial for quicker recovery and less postoperative discomfort. However, if the patient prefers to be completely unconscious during the procedure, general anesthesia is a viable option. The decision should be made in consultation with the orthopedic surgeon and the anesthesiologist, who will evaluate the patient's medical history and preferences.

2. Hospital Stay: Generally, clavicle screw removal is considered an outpatient procedure, meaning that patients can often go home the same day after the surgery. However, this can vary based on individual circumstances, such as the patient's overall health, the presence of any complications during the procedure, and the type of anesthesia used. If general anesthesia is administered, the patient may need to stay for a few hours for monitoring before being discharged. It is essential to have a responsible adult accompany the patient home, especially if they have received sedation or general anesthesia.

3. Recovery Time: The recovery time after clavicle screw removal can vary from person to person. Most patients can expect to return to normal activities within a few days to a week, depending on the extent of the surgery and their individual healing process. Pain and discomfort are typically manageable with over-the-counter pain medications, and the surgical site should be kept clean and dry. Physical therapy may be recommended to regain strength and mobility in the shoulder and arm, especially if there was any pre-existing weakness or stiffness prior to the surgery.
In summary, clavicle screw removal is generally a straightforward procedure that can often be performed under local anesthesia with sedation or general anesthesia, usually on an outpatient basis. Recovery is typically quick, with most patients resuming normal activities within a week. However, individual experiences may vary, and it is crucial to follow the surgeon's postoperative care instructions for optimal recovery. Always consult with your healthcare provider for personalized advice and recommendations based on your specific situation.

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