Removal of fracture plate?
After one year post-surgery for an upper limb fracture, the bone has healed.
Since the internal plate is made of health insurance-approved material, is it necessary to undergo another surgery to remove it? (Currently 43 years old)
Liu Xiansheng, 40~49 year old female. Ask Date: 2022/08/25
Dr. Wang Shouji reply Orthopedics
Hello, if there are no specific discomforts or foreign body sensations, it is not necessarily required to remove it.
Changhua Hospital cares about your health.
Wang Shou-ji.
Reply Date: 2022/08/25
More Info
When it comes to the question of whether to remove a steel plate after an arm fracture, the decision largely depends on several factors, including the patient's age, the type of fracture, the presence of any symptoms, and the specific circumstances surrounding the healing process.
In your case, since you mentioned that it has been a year since your arm fracture and the bone has healed, the first consideration is whether the steel plate is causing any discomfort or complications. Generally, if the plate is not causing any irritation to the surrounding tissues, it may not be necessary to remove it. Many orthopedic surgeons adopt a conservative approach, allowing the plate to remain in place if it does not interfere with the patient's daily activities or cause pain.
However, there are some scenarios where removal might be recommended. For instance, if you experience persistent pain, discomfort, or if the plate is palpable and affects your range of motion, it may be advisable to consider removal. Additionally, if the plate is prominent and affects your aesthetic concerns, that could also be a reason to discuss removal with your surgeon.
From a medical standpoint, the materials used in the plate (in your case, a health insurance-covered material) can also play a role in the decision-making process. Some materials are more biocompatible than others, meaning they are less likely to cause adverse reactions in the body. If the plate is made of a material that is known to be well-tolerated, the likelihood of needing removal decreases.
Another important factor is the potential for future complications. In some cases, plates can become a source of infection or can lead to issues such as hardware failure, especially if the patient is involved in high-impact activities. If you are an active individual or participate in sports, your orthopedic surgeon may recommend removal to prevent any potential complications in the future.
Age can also be a consideration. At 43 years old, you are relatively young, and your body may be more resilient in terms of healing and tolerating foreign materials. Younger patients often have a higher likelihood of successful recovery without complications, which can influence the decision to keep the plate in place.
Ultimately, the decision to remove the steel plate should be made in consultation with your orthopedic surgeon. They will evaluate your specific situation, including your healing progress, any symptoms you may be experiencing, and your overall health. It is essential to have an open discussion about the risks and benefits of removal versus retention of the plate.
In summary, while it is not always necessary to remove a steel plate after an arm fracture, the decision should be individualized based on your symptoms, the type of plate, and your lifestyle. If you have concerns or experience discomfort, it is advisable to consult with your orthopedic surgeon to determine the best course of action for your specific case.
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