How Long After Fracture Surgery Can Bone Screws Be Removed?

How long after fracture surgery can the bone screws be removed?

Hello Doctor, my mother had a car accident on April 11 and underwent surgery for a fractured tibia.
The stitches were removed 10 days later.
During her follow-up appointment on May 12, the doctor informed us that the bone screws would be removed on May 26.
I would like to know if this recovery time is too short and if we should seek a second opinion from another physician.
Thank you.

Kaisi, 40~49 year old female. Ask Date: 2023/05/13

Dr. Chen Yongxue reply Orthopedics

Hello, the internal fixation varies depending on the type and location of the injury.
It is best to consult an orthopedic outpatient clinic.
Thank you.

Reply Date: 2023/05/13

More Info

The timeline for the removal of bone screws after fracture surgery can vary significantly depending on several factors, including the type and severity of the fracture, the specific surgical technique used, the patient's overall health, and how well the bone is healing. In your mother's case, she underwent surgery for a leg fracture on April 11, and the plan is to remove the screws on May 26, which is approximately six weeks post-surgery.

Generally, bone healing can take anywhere from six to twelve weeks, depending on the individual and the nature of the fracture. In many cases, surgeons will wait until they are confident that the bone has healed sufficiently before removing any internal fixation devices, such as screws or plates. The decision to remove screws is often based on follow-up imaging studies, such as X-rays, which can show the status of the bone healing process.

In your mother's situation, the timeline of six weeks for screw removal may seem short, especially if she is still experiencing pain or discomfort. However, if the surgeon has assessed her healing through imaging and believes that the bone has healed adequately, then it may be appropriate to proceed with the removal. It is essential to consider that some patients may heal faster than others, and the surgeon's judgment is based on their clinical experience and the specific circumstances of the case.

If you have concerns about whether the recovery time is too short or if the screws should be removed sooner or later, it is entirely reasonable to seek a second opinion from another orthopedic surgeon. A second opinion can provide additional insights and reassurance regarding the healing process and the timing of screw removal. It is crucial to ensure that your mother is comfortable with the treatment plan and that her recovery is progressing as expected.

In summary, while the proposed timeline for screw removal may seem short, it is essential to rely on the surgeon's expertise and the results of any imaging studies. If there are lingering concerns about the healing process or the timing of the screw removal, consulting with another orthopedic specialist can provide peace of mind and ensure that your mother receives the best possible care.

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