Removal of surgical screws from abroad in Taiwan?
Hello, Doctor, I would like to ask you a question.
Two years ago, a family member of mine had surgery in Vietnam and had metal screws placed in their lower leg.
Now they want to have them removed.
Do they have to go back to Vietnam for the removal? Last month, during an examination at a nearby hospital, the doctor suggested returning to the original hospital for the surgery to avoid complications, as the screws used in Vietnam may be different from those in Taiwan, and it could be difficult to remove them without the proper equipment.
I find this quite confusing and concerning, so I came to ask you for guidance on what to do.
Li Yan Cheng, 30~39 year old female. Ask Date: 2024/02/12
Dr. Shi Guozheng reply Orthopedics
It is necessary to examine the shape and brand of the metal pin.
Appropriate tools are required to retrieve it.
You can try visiting a larger hospital to consult with a physician about the possibility of removal.
Reply Date: 2024/02/12
More Info
When it comes to removing foreign surgical pins, such as those used in orthopedic procedures, patients often find themselves in a dilemma, especially when the pins were placed in a different country. In your case, your family member had surgery in Vietnam and now wishes to have the surgical pins removed in Taiwan.
Firstly, it is important to understand that the removal of surgical pins is a common procedure, and many hospitals in Taiwan are equipped to handle such cases. However, the feasibility of removing the pins depends on several factors, including the type of pins used, the surgical technique employed, and the availability of appropriate tools and expertise in the hospital where the procedure is to be performed.
The recommendation to return to the original hospital in Vietnam for the removal of the pins is based on the concern that the surgical pins may be specific to the manufacturer or design used in Vietnam. This could mean that the tools or techniques required to safely remove them may not be readily available in Taiwan. However, this does not mean that removal in Taiwan is impossible. Many hospitals, especially larger medical centers with orthopedic departments, have experience dealing with various types of surgical implants and may have the necessary tools to remove the pins.
Here are some steps you can take to explore your options:
1. Consult with an Orthopedic Specialist: Schedule an appointment with an orthopedic surgeon in Taiwan who has experience with implant removal. Bring any medical records, including the original surgical report from Vietnam, if available. This will help the surgeon understand the specifics of the pins used and assess the best approach for removal.
2. Imaging Studies: The orthopedic surgeon may recommend imaging studies, such as X-rays or CT scans, to evaluate the position of the pins and surrounding bone structure. This will provide crucial information on how to proceed with the removal.
3. Discuss Risks and Benefits: During your consultation, discuss the potential risks and benefits of removing the pins in Taiwan versus returning to Vietnam. The surgeon can provide insights based on their experience and the specific circumstances of your family member's case.
4. Consider Rehabilitation Needs: If the pins are removed, consider the rehabilitation process that may follow. Physical therapy may be necessary to regain strength and mobility in the affected limb.
5. Explore Medical Facilities: Research hospitals in Taiwan that specialize in orthopedic surgery. Look for facilities with a good reputation and experience in handling complex cases involving foreign surgical implants.
6. Second Opinion: If you are uncertain about the recommendations given, seeking a second opinion from another orthopedic specialist can provide additional perspectives and options.
In summary, while there may be concerns about the removal of surgical pins placed in another country, it is often possible to have the procedure done in Taiwan. Consulting with an experienced orthopedic surgeon and discussing the specifics of the case will help determine the best course of action. Ultimately, the decision should be made based on a thorough evaluation of the risks, benefits, and available resources in Taiwan.
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