Should I Remove Screws After Ligament Displacement Surgery? - Orthopedics

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After undergoing ligament displacement surgery and having screws inserted for stabilization, it's understandable to have concerns about whether or not to remove those screws, especially given your ongoing symptoms of discomfort and the sensation of something being caught in your wrist.
Firstly, it's important to recognize that the presence of screws or other hardware in the body can sometimes lead to discomfort, especially if they are located near nerves or other sensitive structures. The symptoms you describe—persistent aching, a feeling of something being stuck, and occasional numbness in your fingers—could potentially be related to the hardware itself, but they could also stem from the original injury or the healing process.

In many cases, screws and plates used in orthopedic surgeries are left in place unless they cause significant problems. The rationale behind this is that, in most instances, the body can adapt to the presence of these foreign objects without major complications. However, if the screws are causing pain or functional limitations, it may be worth considering their removal.
Here are some factors to consider regarding the removal of screws:
1. Symptom Relief: If multiple doctors have suggested that removing the screws could alleviate your symptoms, it may be worth pursuing this option. Persistent pain and discomfort that affects your daily activities can significantly impact your quality of life.
2. Risk of Removal: While removing screws is generally a straightforward procedure, it does carry some risks, such as infection, bleeding, or damage to surrounding tissues. However, if the screws are indeed contributing to your symptoms, the benefits of removal may outweigh these risks.

3. Timing of Removal: If your symptoms are severe and persistent, discussing the timing of the removal with your orthopedic surgeon is crucial. Some surgeons prefer to wait until the bone has fully healed before removing hardware, while others may be more proactive if they believe the hardware is causing issues.

4. Long-term Effects: Leaving the screws in place typically does not lead to long-term complications unless they cause significant pain or functional impairment. However, if you continue to experience discomfort, it may lead to chronic pain or other issues over time.

5. Consultation with Specialists: If you feel uncertain about your current surgeon's recommendations, seeking a second opinion from another orthopedic specialist can provide additional insights. They may have different perspectives on whether the screws should be removed based on your specific symptoms and medical history.

In conclusion, while many patients can live comfortably with screws in place, your ongoing symptoms warrant a thorough evaluation. If the screws are indeed the source of your discomfort, removal could potentially lead to significant improvement in your symptoms and overall function. It's essential to have an open dialogue with your healthcare provider about your concerns and to explore all available options for your situation.