Can steel nails be left in place?
Hello, Doctor: I suffered a fracture of the scaphoid bone in my right hand and underwent surgery on April 2nd of this year.
The doctor mentioned that the bone had not healed at all after the fracture (I delayed seeking medical attention for over three months), so during the surgery, they had to harvest bone from the surrounding area to use as a graft, and they also placed a steel pin inside to stabilize it.
The doctor said that removing this pin would be difficult, so it doesn't need to be taken out.
Can this pin remain in my body for life? Will there be any long-term effects as I age, such as rheumatic pain or similar issues? Thank you!
Xiao Yi, 20~29 year old female. Ask Date: 2009/04/14
Dr. Luo Zhongwei reply Orthopedics
In principle, it can be left in place, but if the screw is too long and irritates other joint surfaces causing pain, it should be removed.
Reply Date: 2009/04/14
More Info
When it comes to orthopedic surgeries involving the insertion of steel pins or screws, many patients have concerns about the long-term implications of having these foreign objects in their bodies. In your case, you mentioned that you underwent surgery for a scaphoid fracture and had a steel pin inserted to stabilize the bone. Let's address your concerns regarding the permanence of the steel pin and any potential long-term effects.
First and foremost, it is generally accepted in orthopedic practice that many patients can live with steel pins, screws, or plates in their bodies without significant issues. These devices are typically made of biocompatible materials, such as titanium or stainless steel, which are designed to withstand the body's environment without causing adverse reactions. In fact, many orthopedic surgeons prefer to leave these devices in place unless they cause specific problems, such as infection, pain, or mechanical failure.
Regarding your specific questions:
1. Can the steel pin stay in your body for life? Yes, in many cases, steel pins can remain in the body indefinitely without causing harm. Many patients have steel hardware left in place after surgeries and lead normal lives without complications. The decision to remove the pin often depends on factors such as the patient's age, activity level, and any symptoms they may experience. If the pin is not causing pain or discomfort, it is often left in place.
2. Will there be long-term effects as you age? While it is possible for some individuals to experience discomfort or pain related to the presence of metal hardware, this is not common. Some patients may report sensations of stiffness or localized discomfort, especially in colder weather, but these symptoms are usually manageable. There is no direct correlation between having a steel pin and developing conditions like rheumatoid arthritis or other systemic issues. However, if you have a history of autoimmune diseases or other health concerns, it is essential to discuss these with your healthcare provider.
3. Could the pin cause issues like rheumatic pain? Rheumatic pain is typically associated with inflammatory conditions affecting the joints and soft tissues, rather than the presence of metal hardware. If you experience joint pain or stiffness, it is crucial to consult with your physician to determine the underlying cause. In some cases, pain may arise from the surrounding soft tissues or from the joint itself rather than the hardware.
4. What if the pin moves or causes problems? Although it is rare, there is a possibility that the pin could shift or become loose over time, especially if the surrounding bone does not heal properly. If you experience increased pain, swelling, or any unusual sensations in the area of the surgery, it is essential to seek medical attention. Your doctor may recommend imaging studies, such as X-rays, to assess the position of the pin and the healing of the bone.
5. What about physical activity? After healing, many patients can return to their normal activities, including sports and exercise. However, it is essential to follow your doctor's advice regarding rehabilitation and gradually increase your activity level. Engaging in physical therapy can help strengthen the surrounding muscles and improve joint function, which is crucial for long-term recovery.
In conclusion, while the presence of a steel pin in your body can be concerning, many patients live with such hardware without significant issues. Regular follow-ups with your orthopedic surgeon and open communication about any symptoms you experience are vital for ensuring a successful recovery and addressing any potential complications early on. If you have further concerns or specific symptoms, do not hesitate to reach out to your healthcare provider for personalized advice and management.
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