Impact of Removing Surgical Pins on Ankle Mobility and Recovery

Q: Impact of Removing Surgical Pins on Ankle Mobility and Recovery

Hello： In response to your question... <br>The removal of ankle screws can be performed under local anesthesia, but it is important to have a psychological preparation beforehand. <br>The anesthesia process may be more painful (as multiple injections may be required), and there w

Steel nail

Hello Dr.
Lee: Will the mobility of my foot be affected right after the removal of the metal screws? Will I need to undergo rehabilitation again? Is the bone more fragile? The area where my fracture was sutured (ankle) is about 10 centimeters; can the screws be removed under local anesthesia?

lin, 30~39 year old female. Ask Date: 2005/03/15

Dr. Li Wenlin reply Orthopedics

Hello: In response to your question...
The removal of ankle screws can be performed under local anesthesia, but it is important to have a psychological preparation beforehand.
The anesthesia process may be more painful (as multiple injections may be required), and there will be a sensation of soreness and numbness when the screws are being extracted; you will definitely feel something, so it's essential to prepare mentally before the procedure.
However, local anesthesia is the safest option, and it allows for outpatient surgery without the need for hospitalization, which is very convenient.
After the screws are removed, the holes left by the screws may be more fragile, so it is important to avoid vigorous activities to prevent re-fracturing.
Generally, after the removal of internal fixation for an ankle fracture, at least one week of rest is needed.
Typically, there is no need for further rehabilitation, and recovery can be quite rapid.
Wishing you a speedy recovery.
Department of Health, Keelung Hospital, Lee Wen-Lin.

Reply Date: 2005/03/15

More Info

After the removal of surgical pins from an ankle fracture, patients often have questions regarding their mobility, recovery, and the need for rehabilitation. It is essential to understand that the removal of pins can indeed impact ankle mobility temporarily, but with appropriate care and rehabilitation, most patients can regain their full range of motion.

When surgical pins are removed, the surrounding tissues, including muscles, ligaments, and tendons, may have experienced some degree of atrophy or stiffness due to immobilization during the healing process. This can lead to a temporary reduction in mobility. Patients may feel discomfort or a lack of strength in the ankle immediately following pin removal. However, this is a normal part of the recovery process, and with time and rehabilitation, mobility typically improves.

Rehabilitation is crucial after the removal of surgical pins. Engaging in physical therapy can help restore strength, flexibility, and function to the ankle. A physical therapist will design a personalized rehabilitation program that may include range-of-motion exercises, strengthening exercises, and functional activities to help you regain your pre-injury level of activity. It is important to follow the guidance of your healthcare provider regarding the timing and intensity of rehabilitation exercises, as starting too soon or too aggressively can lead to complications or setbacks.

Regarding the concern about bone fragility, it is important to note that while the bone may be in a healing phase after pin removal, it is not necessarily "weaker" in a way that would predispose it to fractures. The bone typically continues to remodel and strengthen over time, especially with appropriate weight-bearing activities and rehabilitation. However, patients should be cautious and avoid high-impact activities until they receive clearance from their healthcare provider.

As for the anesthesia used during the pin removal procedure, local anesthesia is often sufficient for this type of surgery, especially if the procedure is straightforward and the patient is comfortable. However, the choice of anesthesia will depend on various factors, including the patient's medical history, the complexity of the procedure, and the surgeon's preference. It is essential to discuss these options with your surgeon prior to the procedure to ensure that you are comfortable and informed about what to expect.

In summary, after the removal of surgical pins from an ankle fracture, patients may experience temporary limitations in mobility, which can be effectively addressed through rehabilitation. Engaging in a structured physical therapy program is vital for regaining strength and function. While the bone may be in a healing phase, it is not necessarily weaker, and patients should follow their healthcare provider's recommendations regarding activity levels. Lastly, local anesthesia is typically an option for pin removal, but this should be discussed with the surgical team beforehand. Always prioritize open communication with your healthcare providers to ensure a smooth recovery process.

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