Where to Get Your Intramedullary Nail Removed After Fracture?

Q: Where to Get Your Intramedullary Nail Removed After Fracture?

Hello： There are many brands of intramedullary nails, and if removal is necessary, tools from the same brand are required. <br>Since we cannot determine which brand you have, we recommend that you come to the clinic for further evaluation. <br>Thank you!

Could you please provide more details about your questions regarding the removal of metal screws?

Hello, Doctor.
About a year ago, I had a car accident that resulted in a femur fracture.
Afterward, I underwent surgery to fix it with an intramedullary nail.
The hospital where I had the surgery is quite far from my home, so I would like to find a closer place to have the nail removed (I live in Hsinchu).
However, I heard that the nails used in different hospitals vary, and not every doctor is willing to remove them.
Therefore, I am unsure where to go for the procedure and hope you can provide me with some advice.
Additionally, if possible, could Dr.
Wang perform the surgery to remove the nail for me? Thank you.

Hong Cha, 20~29 year old female. Ask Date: 2005/09/28

Dr. Wang Zikang reply Orthopedics

Hello: There are many brands of intramedullary nails, and if removal is necessary, tools from the same brand are required.
Since we cannot determine which brand you have, we recommend that you come to the clinic for further evaluation.
Thank you!

Reply Date: 2005/09/28

More Info

When considering the removal of an intramedullary nail after a fracture, it is essential to understand the process and the factors involved in selecting a suitable medical facility. Given your situation, where you had a femur fracture treated with an intramedullary nail and are now seeking a closer location for the removal, here are some important points to consider.

Choosing the Right Facility
1. Orthopedic Specialization: Look for hospitals or clinics that have a dedicated orthopedic department. Orthopedic surgeons specialize in the treatment of musculoskeletal injuries and conditions, and they will have the expertise required for the removal of intramedullary nails.

2. Experience with Intramedullary Nails: Not all orthopedic surgeons may have experience with every type of intramedullary nail. It is crucial to find a surgeon who is familiar with the specific type of nail you have. You can inquire about their experience with similar procedures during your consultation.

3. Hospital Reputation: Research the reputation of the hospitals or clinics you are considering. Look for reviews or testimonials from previous patients, particularly those who have undergone similar procedures.

4. Consultation: Schedule a consultation with an orthopedic surgeon to discuss your case. Bring any medical records, including your surgical history and details about the intramedullary nail used. This information will help the surgeon assess your situation accurately.

5. Insurance and Location: Consider your health insurance coverage and whether the facility you choose is in-network. Additionally, proximity to your home is important for convenience, especially during the recovery period.

The Procedure
The removal of an intramedullary nail is typically performed under general or regional anesthesia. The surgeon will make an incision over the site of the nail, and using specialized instruments, they will carefully extract the nail from the bone. The procedure usually takes about one to two hours, depending on the complexity.

Recovery After Removal
Post-operative recovery can vary based on individual circumstances. Generally, patients are advised to rest and avoid putting weight on the affected leg for a few days. Physical therapy may be recommended to regain strength and mobility in the leg. Most patients can return to normal activities within a few weeks, but this can vary based on the extent of the initial injury and the individual's healing process.

Follow-Up Care
After the procedure, follow-up appointments will be necessary to monitor healing and ensure that there are no complications. It is essential to adhere to the surgeon's post-operative instructions regarding activity levels, pain management, and wound care.

Conclusion
In summary, to have your intramedullary nail removed, seek out an orthopedic surgeon at a reputable hospital or clinic that specializes in such procedures. Ensure that the surgeon has experience with the specific type of nail you have. Schedule a consultation to discuss your options and the procedure in detail. With proper care and follow-up, you can expect a smooth recovery process. If you have a specific surgeon in mind, such as Dr. Wang, it is advisable to contact their office directly to inquire about their availability and willingness to perform the procedure.

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