Broken Pins in Bones: What You Need to Know

The metal pin has broken inside the bone?

Hello Dr.
You: On August 19, my daughter was involved in a car accident resulting in comminuted fractures of both radius bones, with both wrists broken.
On the same day, the doctor performed a surgery to fixate the fractures with nails and plates.
Today, on October 18, the doctor said that the nails can be removed, but after taking an X-ray, it was discovered that one of the nails had broken and is now embedded in the bone.
The doctor said it’s not a problem, but I would like to understand if it really is not an issue.
Is it unnecessary to surgically remove it? Will there be any long-term effects or impact on mobility? Could it potentially injure the surrounding soft tissue? What would be the best course of action? Thank you, Dr.
You.

Kele, 40~49 year old female. Ask Date: 2023/10/18

Dr. You Dianqi reply Orthopedics

Each individual's situation is different, so it is recommended to consult your primary physician.
Thank you.

Reply Date: 2023/10/18

More Info

Hello, thank you for your question regarding the situation with your daughter’s broken pins in her bones. It sounds like a challenging experience, and I understand your concerns about the implications of a broken pin and the potential for complications.

When a pin or screw used in orthopedic surgery breaks, it can be concerning, especially if it is embedded within the bone. However, the management of a broken pin largely depends on several factors, including the type of fracture, the location of the pin, and the overall healing process of the bone.

1. Assessment of the Situation: If the doctor has assessed the situation and determined that the broken pin does not pose an immediate risk, it is often the case that surgical intervention may not be necessary. The body can sometimes tolerate the presence of a broken pin, especially if it is not causing pain or discomfort and if the fracture is healing well. In many cases, the broken piece may become encapsulated by bone or soft tissue, reducing the risk of complications.

2. Potential Complications: While it is generally true that a broken pin may not cause significant issues, there are potential complications to be aware of. These can include:
- Infection: If the broken pin is exposed or if there is any sign of infection, this would require immediate medical attention.

- Pain or Discomfort: Some patients may experience discomfort if the broken pin irritates surrounding tissues. If your daughter experiences significant pain, it would be important to consult with her physician.

- Impact on Function: If the pin is located in a way that it affects the function of the wrist or hand, further evaluation may be necessary.

3. Follow-Up Care: Regular follow-up appointments with her orthopedic surgeon are crucial. They will monitor the healing process through X-rays and physical examinations. If the bone is healing well and there are no signs of complications, the doctor may recommend a conservative approach, allowing the body to heal naturally.

4. When to Consider Surgery: Surgery to remove a broken pin may be considered if:
- The pin is causing significant pain or discomfort.

- There are signs of infection or other complications.

- The healing of the fracture is compromised due to the presence of the broken pin.

5. Rehabilitation: Regardless of whether the pin is removed, physical therapy may be beneficial. Rehabilitation can help restore strength and mobility to the wrist and hand, which is essential for regaining function after such injuries.

6. Patient Education: It is important to educate your daughter about signs that may indicate complications, such as increased pain, swelling, or redness around the surgical site. If she experiences any of these symptoms, she should contact her healthcare provider promptly.

In summary, while a broken pin can be concerning, many patients do well without the need for surgical removal, especially if the fracture is healing properly. Continuous monitoring and communication with her healthcare team will be key to ensuring a successful recovery. If you have any further questions or concerns, don’t hesitate to reach out to her orthopedic surgeon for personalized advice and guidance.

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