Should You Use Artificial Bone to Fill Screw Holes After Clavicle Plate Removal? - Orthopedics

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Questions about removing the clavicle plate?


Dear Doctor, I am about to have the steel plate removed from my previous clavicle fracture surgery.
The removal will leave screw holes, and I have the option to use a self-funded synthetic bone material to fill these holes.
Could you please explain the necessity, advantages, and disadvantages of using this synthetic bone material? Thank you very much.

Huang, 40~49 year old female. Ask Date: 2022/12/06

Dr. Shi Guozheng reply Orthopedics


Typically, it is not necessary to take such precautions for three to six months, as the holes in the bone will naturally heal and fill in without significant impact.

Reply Date: 2022/12/06

More Info


When considering the removal of a clavicle plate and the potential use of artificial bone to fill the screw holes left behind, it's important to weigh the benefits and drawbacks of such a procedure.
First, let's address the necessity of using artificial bone. In most cases, when a plate and screws are removed after a fracture has healed, the holes left by the screws will typically heal on their own. The bone has a remarkable ability to regenerate and fill in these defects over time. The body’s natural healing processes often suffice to close these holes without the need for additional materials. Therefore, in many situations, using artificial bone is not strictly necessary.

However, there are specific circumstances where artificial bone might be considered beneficial. For instance, if the screw holes are particularly large or if there are concerns about the structural integrity of the bone at the site of the holes, using artificial bone can provide additional support. This can be especially relevant in cases where the bone is deemed to be weak or at risk of re-fracture. Artificial bone grafts can help to promote healing and provide a scaffold for new bone growth.

Now, let’s discuss the advantages and disadvantages of using artificial bone.
Advantages:
1. Enhanced Healing: Artificial bone can provide a scaffold that encourages new bone growth, potentially speeding up the healing process.

2. Structural Support: It can help to stabilize the area, especially if the surrounding bone is weak or compromised.

3. Reduced Risk of Complications: In certain cases, filling the holes may reduce the risk of complications associated with bone healing, such as non-union or malunion.

Disadvantages:
1. Cost: Artificial bone grafts can be expensive, and if they are not deemed medically necessary, they may not be covered by insurance.

2. Surgical Risks: Any additional surgery carries risks, including infection, bleeding, and complications related to anesthesia.

3. Potential for Rejection or Complications: Although rare, there is a possibility that the body may not accept the artificial material, leading to complications.

In conclusion, while the use of artificial bone to fill screw holes after clavicle plate removal can be beneficial in certain situations, it is often not necessary. The decision should be made in consultation with your orthopedic surgeon, who can assess the specific circumstances of your case, including the condition of your bone and the size of the screw holes. They will be able to provide personalized recommendations based on your healing progress and overall health.
Ultimately, the goal is to ensure that your clavicle heals properly and that you can return to your normal activities without complications. If you have any further questions or concerns, do not hesitate to discuss them with your healthcare provider.

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Should You Use Artificial Bone for Clavicle Plate Removal?

Dear Doctor, I am about to have the steel plate removed from my previous clavicle fracture surgery. The removal will leave screw holes, and I have the option to use a self-funded synthetic bone graft to fill these holes. Could you please explain the necessity, advantages, and dis...


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