Is It Safe to Undergo Surgery Again Just Two Weeks After Pins?

Is it possible to undergo surgery to replace the steel plate less than two weeks after having screws implanted?

On March 2nd, I had five metal screws implanted in my left arm, and today was my second follow-up appointment.
The doctor mentioned that one of the screws did not provide adequate stabilization, resulting in a bone displacement.
He advised me to undergo another surgery to replace the plate.
I am really worried about having to undergo another surgery less than two weeks after the first one.
Since the surgery was performed in Japan, I would prefer to have the second surgery in Taiwan, but I am concerned about the quarantine, which would mean waiting at least another two weeks, and it feels like too long.
The doctor said that if I do not have the second surgery, the bone may not heal properly.
I would like to know how common it is to have cases where screws are found to be inadequately stabilizing and require a plate replacement.
Thank you very much for your help.

Fang, 30~39 year old female. Ask Date: 2022/03/17

Dr. Chen Yongxue reply Orthopedics

Hello, if the steel nail at the fracture site has shifted, it is advisable to reinsert it.
Of course, undergoing surgery on the same area within a short period increases the risk of infection slightly, but as long as proper care is taken, it should not be a major issue.
Thank you.

Reply Date: 2022/03/17

More Info

Undergoing a second surgery just two weeks after the initial procedure can understandably cause anxiety and concern, especially when it involves the fixation of bones with pins or plates. In your case, it appears that one of the pins used to stabilize your fractured arm has failed to provide adequate support, leading to a displacement of the bone. This situation necessitates a reevaluation of your treatment plan, and your doctor has recommended a revision surgery to replace the pin with a plate for better stabilization.

First and foremost, it is essential to understand that complications such as inadequate fixation or hardware failure can occur in orthopedic surgeries, particularly in cases involving fractures. The healing process for bones can be unpredictable, and sometimes the initial fixation may not achieve the desired stability, especially if there are factors such as poor bone quality, excessive movement, or infection. While it may not be extremely common, it is not unheard of for patients to require additional surgeries due to hardware issues.

Regarding the safety of undergoing another surgery so soon after the first, several factors need to be considered. The primary concern is the healing of the soft tissues and the bone itself. After a surgical procedure, the body requires time to heal, and performing another surgery too soon can increase the risk of complications such as infection, delayed healing, or further damage to the surrounding tissues. However, if the current fixation is inadequate and poses a risk to proper bone healing, the benefits of addressing the issue promptly may outweigh the risks associated with a second surgery.

Your surgeon's recommendation to proceed with the revision surgery is likely based on the assessment that without proper fixation, the bone may not heal correctly, which could lead to long-term complications such as malunion or nonunion (where the bone fails to heal properly). These complications can result in chronic pain, loss of function, and the need for more extensive surgeries in the future.

If you are considering returning to Taiwan for the surgery, it is crucial to communicate with both your current surgeon in Japan and any potential surgeons in Taiwan. Discussing your concerns about quarantine and delays is essential, as it may impact your overall recovery timeline. If your current surgeon believes that immediate intervention is necessary, it may be worth considering staying in Japan for the procedure to avoid any delays that could jeopardize your healing.

In terms of recovery, the timeline can vary based on the complexity of the surgery and your overall health. Generally, after a revision surgery, you may need to follow a similar rehabilitation protocol as before, which may include immobilization, physical therapy, and gradual return to activities. Your healthcare team will provide guidance on how to manage pain and support your recovery.

In summary, while the prospect of a second surgery shortly after the first can be daunting, it is sometimes necessary to ensure proper healing and function of the affected limb. Open communication with your healthcare providers, understanding the risks and benefits, and making informed decisions about your care are vital steps in navigating this situation. Always prioritize your health and recovery, and do not hesitate to seek a second opinion if you feel uncertain about the proposed plan.

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