Should You Remove Plates and Screws After Arm Fracture Surgery? - Orthopedics

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When it comes to the decision of whether to remove plates and screws after arm fracture surgery, there are several factors to consider. Your situation, having sustained a humeral fracture and subsequently undergoing surgery with the placement of titanium alloy plates and screws, is not uncommon. Here are some insights based on medical knowledge and practices.

1. Necessity of Removal: In many cases, the removal of plates and screws is not necessary. If the hardware is not causing any discomfort, pain, or functional impairment, it can often be left in place indefinitely. Titanium, the material used for your hardware, is biocompatible, meaning it is generally well-tolerated by the body. Your surgeon's recommendation against removal likely stems from the understanding that the risks associated with surgery to remove the hardware may outweigh the benefits, especially if you are recovering well.

2. Risks of Removal: The process of removing plates and screws can carry risks, including infection, nerve damage, and complications related to anesthesia. For instance, there is a possibility of injuring nearby nerves during the removal process, which can lead to long-term complications. Your surgeon is likely considering these risks when advising against removal. The concern about adhesions and scar tissue formation is also valid; these can complicate future surgeries and lead to chronic pain or dysfunction.

3. Post-Removal Rehabilitation: If you do decide to proceed with the removal, it is essential to understand that rehabilitation may be necessary afterward. Even though the hardware is removed, the surrounding tissues may need time to heal and regain strength. Physical therapy can help restore function and mobility, especially if there has been any stiffness or weakness.

4. Personal Considerations: It’s important to weigh your personal comfort and lifestyle against the medical advice. If you are experiencing discomfort or if the hardware is visibly protruding and causing you distress, discussing these concerns with your surgeon is crucial. They can provide insights tailored to your specific situation and help you make an informed decision.

5. Consultation with Your Surgeon: Since your family is advocating for the removal of the hardware, it may be beneficial to have a candid discussion with your surgeon. Ask about the potential risks and benefits of removal in your specific case, and express your concerns and those of your family. Your surgeon can provide clarity on whether the hardware is likely to cause issues in the future and what the implications of removal would be.

6. Return to Activities: If you are considering returning to sports or activities that involve physical exertion, it is essential to consult with your surgeon about the safety of doing so with the hardware in place. Many patients return to full activity without issues, but individual circumstances can vary.

In conclusion, the decision to remove plates and screws after arm fracture surgery should be made collaboratively with your healthcare provider, taking into account your recovery status, the risks involved, and your personal preferences. If your surgeon believes that the hardware can remain without causing problems, it may be best to follow that advice, while also addressing any concerns you or your family may have.