Post-Surgery Recovery: Insights on Plate and Screw Removal in Orthopedics

Q: Post-Surgery Recovery: Insights on Plate and Screw Removal in Orthopedics

Hello： 1. <br>The decision to remove screws and plates after fracture surgery is still based on the healing status of the fracture. <br>If 5-6 doctors agree that the surgery and healing are satisfactory, you can feel reassured. <br>2. <br>Generally speaking, as long as there is n

Post-Removal of Hardware Surgery

Dear Deputy Director Shih,
I have a situation where I fractured my tibia in two places, resulting in an open fracture.
After the injury, I had two plates and nine screws inserted for stabilization.
I used crutches for eight months, and it has now been 17 months.
On May 4th, I underwent surgery to remove the plates and screws.

1.
The hospital is quite far from my home, so I did not return to see my original surgeon after the fracture surgery.
However, I have consulted with 5 to 6 other doctors, all of whom said the surgery was performed very well.
After the removal of the plates and screws, the doctor informed me that my bone alignment is good, and I do not need to use crutches.
However, I have heard from others that it is common to use crutches for a few weeks after such a procedure.
Currently, I am not using crutches.
Whose advice should I follow? Should I return to consult the doctor who performed my fracture surgery? Is there a risk that my bone will bend if I do not use crutches?
2.
I have heard that for open fractures, it typically takes at least a year and a half before plates and screws can be removed.
Is 17 months too soon for me to have them taken out, or does it vary based on individual circumstances?
3.
How long do you think it will take for me to return to regular physical activities?
Thank you for your response, Deputy Director Shih.

Jun Jie, 20~29 year old female. Ask Date: 2007/05/11

Dr. Shi Qiming reply Orthopedics

Hello: 1.
The decision to remove screws and plates after fracture surgery is still based on the healing status of the fracture.
If 5-6 doctors agree that the surgery and healing are satisfactory, you can feel reassured.
2.
Generally speaking, as long as there is not too much pain after surgery, regular activities can usually be gradually resumed in four to six weeks.
3.
If it is not inconvenient, it is best to return to the original physician for a follow-up appointment.

Reply Date: 2007/05/11

More Info

Post-surgery recovery, particularly after orthopedic procedures involving the removal of plates and screws, can be a complex process influenced by various factors, including the nature of the injury, the surgical technique used, and the individual’s overall health. In your case, having undergone an open fracture of the tibia with fixation using plates and screws, it is understandable to have concerns about the recovery process following the removal of these implants.

Firstly, regarding the need for crutches after the removal of the plates and screws, it is essential to follow the advice of your orthopedic surgeon. While some patients may be advised to use crutches for a short period post-removal to ensure stability and support during the healing process, others may not require them if the bone has healed adequately. The fact that multiple doctors have assessed your condition and deemed the surgery successful is a positive sign. However, it is crucial to consider that each case is unique. If your surgeon has advised you that you do not need crutches and that your bone is stable, it is likely safe to follow that guidance. Nevertheless, if you experience any discomfort or instability while walking, it may be prudent to use crutches temporarily until you feel more confident.

Secondly, concerning the timeline for removing the hardware after an open fracture, it is indeed true that the general recommendation is to wait at least a year, especially for complex fractures. However, healing times can vary significantly based on individual circumstances, including age, overall health, the specific nature of the fracture, and how well the bone has healed. In your case, 17 months post-injury is within a reasonable timeframe for hardware removal, particularly if imaging studies (like X-rays) have shown that the bone has healed properly. It is essential to trust the judgment of your healthcare providers, as they have access to your medical history and imaging results.

Lastly, regarding your return to regular activities and sports, the timeline for resuming physical activities can vary widely among individuals. Typically, after the removal of hardware, patients may be advised to gradually increase their activity levels. Light activities can often be resumed within a few weeks, while more strenuous activities, such as running or jumping, may take longer—often several months. It is crucial to listen to your body and consult with your orthopedic surgeon or physical therapist about a tailored rehabilitation program. They can provide guidance on exercises to strengthen the leg, improve range of motion, and safely progress to more demanding activities.

In summary, while it is natural to have concerns about your recovery, it is vital to communicate openly with your healthcare providers. They can offer personalized advice based on your specific situation. If you have lingering doubts or experience any unusual symptoms, do not hesitate to reach out to your original surgeon or seek a second opinion. Your health and safety should always come first, and ensuring a thorough recovery will help you return to your desired activities with confidence.

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