Can I Remove My Clavicle Plate 5 Years After Surgery?

Is it possible to remove the plate after 5 years following a clavicle fracture surgery?

Is it still possible to remove the plate after 5 years post-clavicle fracture surgery? I am 24 years old and had the surgery when I was 19, but I haven't had the time to remove it due to various courses requiring physical activity.
Is it too late to have it removed now? If I don't remove it, what adverse effects might occur?

Janet Hu, 20~29 year old female. Ask Date: 2021/08/16

Dr. Zhan Xian reply Orthopedics

Hello, since you are young, your bones should be growing well.
This requires imaging assessment.
If it is an interlocking plate, it may be more difficult to remove.
You can discuss this with the surgeon who previously operated on you.
Not removing it may lead to a sensation of foreign body presence, or future accidents may complicate the management of any fractures.

Reply Date: 2021/08/16

More Info

Yes, you can still have the clavicle plate removed five years after surgery. At 24 years old, your bones are likely to be in good condition, and the removal of the plate is generally feasible at this stage. However, the decision to remove the plate should be based on a thorough evaluation by your orthopedic surgeon, including imaging studies like X-rays to assess the current state of the bone and the plate.

There are several factors to consider regarding the removal of the plate. First, if the plate is a locked plate, the removal process may be more complicated. In many cases, plates and screws are left in place if they are not causing any discomfort or complications. However, if you are experiencing discomfort, a sensation of the plate being an "alien" object, or if you are concerned about future injuries, it may be advisable to have it removed.

Not removing the plate can lead to several potential issues. Some patients report a feeling of foreign body sensation, which can be bothersome. Additionally, if the plate remains in place for an extended period, there is a theoretical risk of bone resorption at the interface between the bone and the plate, which could complicate future surgeries if another injury occurs. If you were to sustain another fracture in the same area, the presence of the plate might complicate the surgical approach and healing process.

It is also worth noting that while many patients live comfortably with plates and screws in place, some individuals may experience chronic pain or discomfort that could be alleviated by removal. If you have been active in sports or physical activities, the presence of the plate might limit your range of motion or cause discomfort during certain movements.

In summary, it is certainly possible to remove the clavicle plate five years after surgery, and it may be beneficial if you are experiencing discomfort or have concerns about future complications. It is essential to have a detailed discussion with your orthopedic surgeon, who can provide personalized advice based on your specific situation, including the condition of your bone and the type of plate used. They will be able to assess whether removal is necessary or if it is safe to leave the plate in place. Always prioritize open communication with your healthcare provider to ensure the best possible outcome for your health and well-being.

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