How to Remove Bone Screws After a Long Recovery: A Patient's Guide - Orthopedics

More Info

---

Removing bone screws or any internal fixation devices after a long recovery period can be a significant step in the rehabilitation process for patients who have experienced severe fractures. In your case, having sustained injuries from a car accident in 2009, including a fractured pelvis and femur, it is understandable that you would want to explore the possibility of having your hardware removed, especially since you have not returned to your original hospital for follow-up care.


Steps to Consider for Hardware Removal:
1. Consultation with an Orthopedic Surgeon: The first step is to find an orthopedic surgeon who specializes in trauma or orthopedic surgery. You can look for a reputable hospital or clinic in your area, such as in Keelung, where you currently reside. Schedule a consultation to discuss your history, current symptoms, and the reasons for wanting the hardware removed.

2. Medical Evaluation: During your consultation, the surgeon will likely perform a physical examination and may order imaging studies, such as X-rays or CT scans, to assess the current state of your bones and the hardware. This evaluation is crucial to determine whether the bone has healed sufficiently and if the removal of the screws is advisable.

3. Understanding the Risks and Benefits: The surgeon will explain the potential risks associated with hardware removal, including infection, bleeding, and the possibility of re-fracture. They will also discuss the benefits, such as alleviating discomfort or pain caused by the hardware, improving mobility, and reducing the risk of complications in the future.

4. Surgical Procedure: If you and your surgeon decide to proceed with the removal, the procedure is typically done under anesthesia. The surgeon will make an incision over the area where the hardware is located, carefully remove the screws or plates, and then close the incision. The recovery time can vary, but many patients are able to return to normal activities within a few weeks, depending on their overall health and the extent of the surgery.

5. Post-Operative Care and Rehabilitation: After the surgery, you will need to follow your surgeon's post-operative care instructions closely. This may include rest, pain management, and physical therapy to regain strength and mobility in the affected area. Rehabilitation is essential to ensure a successful recovery and to help you return to your daily activities.

6. Follow-Up Appointments: Regular follow-up appointments with your orthopedic surgeon will be necessary to monitor your recovery and address any concerns that may arise. This is also an opportunity to discuss any ongoing symptoms or issues related to your previous injuries.


Additional Considerations:
- Insurance and Referrals: If you have health insurance, check with your provider regarding coverage for the procedure and whether you need a referral to see a specialist.

- Documentation of Previous Treatment: It may be helpful to gather any medical records or documentation from your previous treatment at Hualien Tzu Chi Hospital. This information can provide your new surgeon with valuable insights into your medical history and previous interventions.

- Physical Therapy: Depending on your current condition, your surgeon may recommend physical therapy before and after the hardware removal to strengthen the surrounding muscles and improve joint function.

In conclusion, while it is understandable that you wish to have the hardware removed without returning to your original hospital, it is essential to consult with a qualified orthopedic surgeon in your area. They will guide you through the process, ensuring that you receive the appropriate care and support for your recovery. Remember, your health and safety should always come first, so take the necessary steps to ensure a successful outcome.