When Can I Remove Surgical Pins After Fracture Surgery?

Fracture surgery

Doctor, I had surgery to place two steel pins and a plate.
When can the pins be removed? If they are not removed, will it be inconvenient for me to write in school or ride a motorcycle?

Pei Ying, 10~19 year old female. Ask Date: 2015/08/02

Dr. Shi Guozheng reply Orthopedics

Bone screws can typically be removed only after the fracture has healed, which usually takes about a year.
Before removal, an X-ray must be taken to confirm that healing has occurred.
Fractures generally start to heal gradually within three to six months; during this time, the bone screws may still be in place and some movement is possible, but excessive force should be avoided.

Reply Date: 2015/08/02

More Info

After undergoing fracture surgery where surgical pins and plates have been placed, the timeline for removing these devices can vary based on several factors, including the type of fracture, the location of the injury, the patient's age, overall health, and how well the bone is healing. Generally, surgical pins can be removed anywhere from 6 to 12 weeks post-surgery, but this is contingent upon the healing progress observed through follow-up X-rays and clinical evaluations by your orthopedic surgeon.

In your case, since you mentioned having two pins and a plate, it is essential to follow your surgeon's specific recommendations. They will assess the stability of the fracture and the healing of the bone before deciding on the appropriate time for removal. If the pins are removed too early, there is a risk of the fracture not healing properly, which could lead to complications such as nonunion or malunion of the bone.

Regarding your concerns about activities like writing and riding a motorcycle, it is understandable to worry about the impact of having surgical pins in place. While some patients may experience discomfort or limitations in their range of motion with pins still in place, many can adapt to their daily activities. However, it is crucial to avoid any activities that could put undue stress on the healing bone or the surgical site until your doctor gives you the green light.
Once the pins are removed, you may still need some time to regain full function and strength in your arm or leg. Physical therapy is often recommended to help restore mobility and strength after the removal of surgical hardware. Your therapist will guide you through exercises that can help you regain your range of motion and improve your overall function.

In summary, the removal of surgical pins typically occurs between 6 to 12 weeks after surgery, depending on your specific healing process. It is essential to maintain open communication with your orthopedic surgeon regarding your recovery and any concerns you may have about returning to activities like writing or riding a motorcycle. Always prioritize your healing and follow your doctor's advice to ensure a successful recovery.

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