Ankle Screw Removal: Recovery Timeline and Considerations - Orthopedics

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Removal of ankle screws


Hello! I would like to ask a question.
I had ankle surgery last March, during which they placed screws in my ankle.
Now I'm considering having them removed.
I'm currently studying in the United States and playing on a sports team (it's the season now), so I'm thinking about returning to Taiwan for surgery during the summer break (which starts at the end of May).
However, it seems like I might have some commitments during the summer, so I may not be able to return until the end of June.
If I have the surgery right after I return, will I be able to recover before I go back to the U.S.
on August 10? How long does recovery typically take? Will I be able to walk and go out after the surgery? Alternatively, I'm considering having the screws removed next Christmas or during next summer; would that be too late? Would it still be possible to remove them then? Thank you!

Hsu Li-Hsun, 10~19 year old female. Ask Date: 2012/04/03

Dr. Ye Qingnian reply Orthopedics


Hello: After the removal of the screws, you should avoid intense exercise for three months, as it may increase the risk of re-fracture.
It won't be too late to have surgery again during Christmas.
Wishing you peace and happiness.

Reply Date: 2012/04/03

More Info


When considering the removal of ankle screws, it’s important to understand the recovery timeline and the various factors that can influence your decision. Based on your situation, you had ankle surgery last March where screws were placed, and now you are contemplating their removal during your summer break in Taiwan. Here’s a comprehensive overview of what you can expect regarding recovery and considerations for the timing of the surgery.


Recovery Timeline After Ankle Screw Removal
1. Surgery Duration and Immediate Recovery: The procedure to remove screws from the ankle is typically less invasive than the initial surgery. It usually takes about 30 minutes to an hour. After the surgery, you may be placed in a splint or a walking boot to protect the area.
2. Initial Recovery Phase: In the first few days post-surgery, you will likely experience some swelling and discomfort. Pain management will be important, and your doctor may prescribe pain relief medications. During this time, it’s advisable to keep your foot elevated to minimize swelling.

3. Weight Bearing: Depending on the specifics of your surgery and your doctor’s recommendations, you may be able to start bearing weight on your ankle within a few days to a week after the procedure. However, this can vary significantly based on individual healing and the extent of the surgery.

4. Physical Activity: Generally, you should avoid high-impact activities, such as running or jumping, for at least 4 to 6 weeks post-surgery. Light activities, like walking, may be encouraged as tolerated.
5. Full Recovery: Most patients can expect to return to normal activities within 6 to 8 weeks after screw removal, but this can vary based on individual healing rates and adherence to rehabilitation protocols.

Considerations for Timing
- Summer Break: If you plan to have the surgery at the end of June and return to the U.S. by August 10, you should have enough time for a significant recovery. However, you may still be in the early stages of recovery, and engaging in high-impact sports may not be advisable immediately after the procedure.

- Future Plans: If you are considering waiting until next Christmas or the following summer to have the screws removed, it’s essential to discuss this with your orthopedic surgeon. Delaying the procedure may not necessarily lead to complications, but it could prolong any discomfort or limitations you may be experiencing due to the screws.


Post-Surgery Activities
- Walking and Mobility: After the initial recovery phase, you should be able to walk with assistance, but it’s crucial to follow your doctor’s advice regarding mobility aids. Engaging in light activities is generally acceptable, but high-impact sports should be avoided until you have fully healed.

- Follow-Up Care: Regular follow-ups with your orthopedic surgeon will be necessary to monitor your healing process. They will provide guidance on when you can safely resume sports and other physical activities.


Conclusion
In summary, if you opt for screw removal at the end of June, you should be able to recover sufficiently by August 10, but you may still need to be cautious about engaging in high-impact activities like basketball. It’s advisable to consult with your orthopedic surgeon to discuss your specific case, including the condition of your ankle and your athletic goals. They can provide tailored advice on the best timing for surgery and what to expect during your recovery.

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