Ankle Screw Removal: Recovery Timeline and Considerations for Athletes

Q: Ankle Screw Removal: Recovery Timeline and Considerations for Athletes

Hello： First, it is important to confirm whether the fracture has completely healed. <br>If the fracture has healed, it is recommended to use crutches for about two weeks after the removal of the hardware, after which walking is allowed, but vigorous activities are still not advi

Removal of ankle screws?

Hello! I would like to ask a question.
I had ankle surgery last March, and they put some screws in at that time.
Now I am considering having them removed.
I am currently studying in the United States and also playing on a sports team (it's the season now), so I was thinking about having the surgery during the summer break when I return to Taiwan (the break starts at the end of May).
However, it seems that 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 was considering having the screws removed next Christmas or during next summer; would that be too late? Is there a possibility that they won't be able to remove them then? Thank you!

Larry Hsu, 10~19 year old female. Ask Date: 2012/04/04

Dr. Zhang Jiahao reply Orthopedics

Hello: First, it is important to confirm whether the fracture has completely healed.
If the fracture has healed, it is recommended to use crutches for about two weeks after the removal of the hardware, after which walking is allowed, but vigorous activities are still not advised.
If the hardware has been in place for too long, it may be difficult to remove; however, it should not be too late by next year.
It is advisable to consult your follow-up physician, as they can provide you with the best recommendations based on the current condition of your fracture.
Thank you!

Reply Date: 2012/04/04

More Info

When considering the removal of ankle screws after surgery, especially for athletes, there are several factors to take into account regarding recovery timelines and overall implications for your athletic performance.
Firstly, the timeline for recovery after screw removal can vary significantly based on individual circumstances, including the extent of the initial injury, the type of surgery performed, and your overall health and fitness level. Generally, after screw removal, many patients can expect to return to normal activities within a few weeks, but full recovery, particularly for athletes, may take longer.

In your case, if you plan to have the surgery at the end of June and return to the United States by August 10, you might have a limited window for recovery. Typically, after screw removal, patients are advised to rest and limit weight-bearing activities for at least a few days to a week. During this time, you may experience swelling and discomfort, which can be managed with ice and elevation. Most patients can begin walking with assistance (like crutches) shortly after the procedure, but full weight-bearing may take a couple of weeks.
For athletes, the goal is often to return to sport as soon as safely possible. However, returning to high-impact activities like basketball too soon can risk re-injury. A common recommendation is to wait at least 4-6 weeks post-surgery before engaging in any strenuous activities, including sports. This timeline allows for adequate healing of the soft tissues around the surgical site and helps ensure that the screws' removal does not compromise the stability of the ankle.

If you are considering postponing the surgery until next Christmas or summer, it is essential to consult with your orthopedic surgeon. They can provide insights into whether delaying the procedure could lead to complications or if the screws can remain in place without causing issues. In many cases, screws can be left in indefinitely if they are not causing pain or discomfort, but they may also be removed if they are symptomatic or if there is a risk of future complications.

Regarding your concerns about walking and engaging in activities post-surgery, it is generally advised to avoid high-impact activities for a period after the procedure. Light walking and gentle movements can be beneficial for circulation and healing, but you should avoid any activities that put excessive strain on the ankle until cleared by your healthcare provider.

In summary, if you proceed with the screw removal at the end of June, you may be able to return to light activities by mid-July, but full recovery for sports may take longer. It is crucial to follow your surgeon's recommendations and engage in a structured rehabilitation program to regain strength and stability in your ankle. This approach will help ensure that you can return to basketball and other athletic pursuits safely and effectively. Always communicate openly with your healthcare team about your goals and any concerns you have regarding your recovery timeline.

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