Should You Remove Steel Plates After Bone Healing? Expert Insights - Orthopedics

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When it comes to the question of whether to remove steel plates after bone healing, there are several factors to consider, and the decision often depends on individual circumstances, including the type of fracture, the location of the steel plates, and the patient's overall health.

In your case, having sustained closed fractures of both femurs five years ago, and with the bones having healed completely three years ago, it is understandable that you are seeking clarity on the necessity of removing the steel plates. Generally, the primary purpose of using steel plates and screws in orthopedic surgery is to stabilize the fracture and allow for proper healing. Once the bone has healed, many patients and doctors face the decision of whether to leave the hardware in place or to remove it.

Reasons for Keeping Steel Plates:
1. No Symptoms: If the steel plates are not causing any discomfort, irritation, or complications, many orthopedic surgeons recommend leaving them in place. In your case, if your doctor has indicated that the plates are not causing any issues, it may be wise to follow that advice.

2. Risk of Surgery: Removing steel plates involves another surgical procedure, which carries its own risks, including infection, nerve damage, and complications related to anesthesia. If the plates are not causing problems, the risks may outweigh the benefits of removal.

3. Bone Integrity: After the removal of plates, there can be holes left in the bone where the screws were placed. These holes can take time to heal, and during this period, the bone may be more susceptible to fractures if subjected to stress or trauma.

Reasons for Removing Steel Plates:
1. Discomfort or Pain: If the plates are causing discomfort, pain, or if they are palpable under the skin, removal may be considered to improve quality of life.

2. Activity Level: For individuals who engage in high-impact sports or activities, some surgeons recommend removal to reduce the risk of future injuries or complications.

3. Infection or Complications: If there are signs of infection or if the hardware is causing complications, removal is necessary.

In your situation, since your doctor has assessed that the steel plates can remain without causing any adverse effects, it may be beneficial to trust their expertise. It is also important to consider that many patients do live with their hardware without any issues.
Additionally, the decision can also be influenced by the type of hardware used. Some modern implants are designed to be bio-compatible and can remain in the body indefinitely without causing problems.
In summary, the decision to remove steel plates after bone healing is highly individualized. It is essential to weigh the potential benefits of removal against the risks associated with another surgery. If you are still feeling uncertain, it may be beneficial to seek a second opinion from another orthopedic specialist. They can provide further insights based on your specific case and help you make an informed decision that aligns with your lifestyle and health goals.
Ultimately, maintaining open communication with your healthcare provider and discussing any concerns you have about your recovery and future activities, such as sports or physical exertion, is crucial. Your health and well-being should always be the top priority in making these decisions.