Surgical Wound Size for Clavicle Plate Removal - Orthopedics

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When considering the surgical removal of a clavicle plate and screws, several factors come into play regarding the size of the incision and the need for additional materials like bone cement.
Firstly, regarding the size of the incision for the removal of the plate and screws, it is generally expected that the incision may be smaller than the original one used for the placement of the hardware. Surgeons often aim to minimize tissue trauma and scarring, especially if the original incision has healed well. In many cases, the surgeon can access the hardware through the same incision or a slightly modified approach, which can result in a smaller wound. However, this can vary based on the specifics of your case, such as the position of the hardware, the amount of soft tissue scarring, and the surgeon's technique. It is essential to discuss this with your surgeon, who can provide insights based on their assessment of your condition.

Regarding the need for bone cement to fill the holes left by the screws after removal, this is typically not necessary. The holes created by the screws are usually small and do not require filling unless there is significant bone loss or if the surgeon anticipates that the structural integrity of the clavicle may be compromised. In most cases, the bone will heal around these holes naturally over time. However, if there are concerns about the strength of the bone or if the holes are larger than expected, your surgeon may recommend using bone grafting materials or bone cement. This decision will depend on the quality of the bone and the specifics of your fracture healing.

It is also important to consider the healing process after the removal of the hardware. While many patients experience relief from pain and discomfort after the removal of plates and screws, some may still have residual symptoms. Post-operative care, including physical therapy, may be necessary to restore full function and strength to the shoulder and arm.

In summary, the incision for the removal of the clavicle plate and screws is likely to be smaller than the original incision, but this can vary based on individual circumstances. The need for bone cement or other materials to fill the screw holes is typically not required unless there are specific concerns about bone integrity. Always consult with your surgeon for personalized advice and to address any concerns you may have about the procedure and recovery.