Should You Use Artificial Bone for Clavicle Plate Removal? - Orthopedics

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Questions about 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 disadvantages of using this synthetic bone graft? Thank you very much.

Huang, 40~49 year old female. Ask Date: 2022/12/09

Dr. Shi Guozheng reply Orthopedics


There is no need to fill in with artificial bone, as the bone will heal on its own.
Introducing foreign materials can lead to several disadvantages, including the potential for inflammation.

Reply Date: 2022/12/09

More Info


When considering the removal of a clavicle plate after a fracture, the decision to use artificial bone graft material to fill in the screw holes left behind is an important one. There are several factors to consider regarding the necessity, advantages, and disadvantages of using artificial bone in this scenario.


Necessity of Artificial Bone
The primary purpose of using artificial bone graft material is to promote healing and restore the structural integrity of the bone. After the removal of the plate and screws, the holes left in the bone can potentially weaken the area, making it more susceptible to future fractures or complications. The use of artificial bone can help fill these voids, providing a scaffold for new bone growth and potentially enhancing the healing process.

However, the necessity of using artificial bone grafts depends on several factors:
1. Bone Quality: If the surrounding bone is healthy and robust, the need for artificial bone may be less critical. The body has a remarkable ability to heal itself, and in some cases, the bone may fill in the holes naturally over time.

2. Size and Depth of Holes: Larger or deeper holes may benefit more from the use of artificial bone, as they may not heal as effectively on their own.

3. Patient Factors: Age, overall health, and activity level can influence the decision. Younger, healthier individuals may have a better healing capacity compared to older patients or those with underlying health issues.


Advantages of Using Artificial Bone
1. Enhanced Healing: Artificial bone can provide a scaffold that encourages new bone growth, potentially leading to faster and more effective healing.

2. Reduced Risk of Complications: Filling in the screw holes can help prevent complications such as bone weakness or future fractures in the area.

3. Improved Structural Integrity: By restoring the bone's structural integrity, artificial bone can help maintain proper alignment and function of the clavicle.


Disadvantages of Using Artificial Bone
1. Cost: Artificial bone grafts can be expensive, and if they are not covered by insurance, this could be a significant consideration for the patient.

2. Potential for Complications: While artificial bone is generally safe, there is always a risk of complications such as infection or rejection of the graft material.

3. Surgical Time and Complexity: The addition of artificial bone grafting can increase the complexity and duration of the surgical procedure, which may not be ideal for all patients.


Conclusion
In summary, the decision to use artificial bone for filling screw holes after clavicle plate removal should be made in consultation with your orthopedic surgeon. They will assess your specific situation, including the quality of your bone, the size of the holes, and your overall health. While artificial bone can offer benefits in terms of healing and structural integrity, it is essential to weigh these against the potential costs and risks involved. Ultimately, your surgeon will help you determine the best course of action based on your individual needs and circumstances.

Similar Q&A

Should You Use Artificial Bone to Fill Screw Holes After 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 material to fill these holes. Could you please explain the necessity, advantages, and ...


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.

[Read More] Should You Use Artificial Bone to Fill Screw Holes After Clavicle Plate Removal?


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Dr. Shi Guozheng reply Orthopedics
Bone screws can typically be removed only after the fracture has healed properly. Usually, after the removal of the screws, there is no need to fill the holes with bone graft material, as the holes are quite small. As long as the area is protected from further impact, the holes w...

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