Impact of Plates and Screws on Athletes: A Focus on Football Players - Orthopedics

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The impact of metal plates and screws on athletes?


I would like to ask, as a soccer player aspiring to develop in this field, I have a plate installed on the dorsum of my foot, and my screws are located at the ankle.
I have undergone debridement, calcaneal lengthening, and foot reconstruction surgeries.

1.
How significantly do these devices affect athletes?
2.
Given that I am currently 17 years old, how long will it take before I can have these medical devices removed?

Nìmíng, 10~19 year old female. Ask Date: 2022/09/15

Dr. Shi Guozheng reply Orthopedics


1.
It usually does not have an impact.
2.
Typically, the bone screws can be removed about a year after the bone has healed.

Reply Date: 2022/09/15

More Info


The use of plates and screws in orthopedic surgery, particularly for athletes such as football players, can have significant implications for both recovery and performance. In your case, having undergone procedures like debridement, calcaneal lengthening, and foot reconstruction, it’s essential to understand how these implants may affect your athletic career.

1. Impact of Plates and Screws on Athletes: The primary purpose of plates and screws is to stabilize fractures and support the healing process. For athletes, particularly in high-impact sports like football, the presence of these devices can be a double-edged sword. On one hand, they provide the necessary support to allow for proper healing of the bones and soft tissues. On the other hand, they may also introduce limitations in terms of mobility and flexibility, especially during the initial recovery phase.
After surgery, the body needs time to adapt to the presence of these foreign materials. The healing process can vary significantly among individuals, influenced by factors such as age, overall health, and adherence to rehabilitation protocols. For a 17-year-old athlete, the body is still developing, and the healing process may be more dynamic compared to older individuals. However, the presence of plates and screws can lead to discomfort or pain during physical activities, especially if the hardware is located near areas that experience high stress during movement, such as the ankle and foot.

Additionally, there is a risk of complications such as infection, hardware failure, or irritation of surrounding tissues, which could further impact your ability to perform at your best. It’s crucial to follow your orthopedic surgeon's recommendations regarding activity levels during recovery, as premature return to high-impact sports can jeopardize the healing process.

2. Timeline for Removal of Medical Devices: The timeline for the removal of plates and screws can vary widely based on several factors, including the type of surgery performed, the specific bones involved, and how well you are healing. Generally, orthopedic surgeons may recommend waiting until the bone has fully healed, which can take anywhere from several months to over a year, depending on the severity of the injury and the surgical procedure.

In many cases, plates and screws are left in place if they are not causing any discomfort or complications. However, if they are causing pain or if there is a risk of them interfering with your athletic performance, your surgeon may consider removal. It’s essential to have regular follow-up appointments with your orthopedic specialist to monitor your healing progress and discuss any concerns you may have regarding the hardware.

In conclusion, while plates and screws are vital for the healing process, their impact on your athletic performance should not be underestimated. It’s crucial to maintain open communication with your healthcare providers, adhere to rehabilitation protocols, and be patient with your recovery. With proper care and attention, many athletes can return to their sport successfully after such procedures, but it’s essential to prioritize your health and recovery above all else.

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