When Is the Right Time to Remove Bone Screws After Surgery? - Orthopedics

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Removal of bone screws


When can the doctor remove the stitches?

Pei Ying, 10~19 year old female. Ask Date: 2015/09/03

Dr. Shi Guozheng reply Orthopedics


Suture removal typically occurs one to two weeks after the procedure, depending on the location of the incision.
For the forearm, it is usually around seven to ten days.
The same timeframe applies to the lower leg.
For areas near the knee joint, it is about fourteen days, while for the hip joint, it takes approximately twelve to fourteen days.

Reply Date: 2015/09/03

More Info


The timing for the removal of bone screws after surgery can vary significantly based on several factors, including the type of fracture, the surgical technique used, the specific bone involved, and the individual patient's healing process. Generally, bone screws are used to stabilize fractures and promote healing, and their removal is typically considered once the bone has sufficiently healed and the surrounding tissues have stabilized.

In most cases, the removal of bone screws can occur anywhere from a few months to a year after the surgery. For instance, in the case of a simple fracture that has healed well, screws may be removed around 3 to 6 months post-surgery. However, for more complex fractures or those involving significant soft tissue damage, the timeline may extend to 9 months or longer. The decision to remove screws is often guided by X-ray assessments that show adequate bone healing.

Regarding the timing for suture removal, this typically occurs within 7 to 14 days post-surgery, depending on the surgical site and the type of sutures used. For example, absorbable sutures may not require removal, while non-absorbable sutures will need to be taken out by a healthcare professional.

It's important to note that while some patients may feel ready for screw removal based on their recovery, the actual decision should always be made by the orthopedic surgeon. They will assess the healing progress through physical examinations and imaging studies, ensuring that the bone is stable enough to withstand normal activities without the screws.

In your specific case, if your mother had surgery for a fractured leg on April 11 and the physician has scheduled the removal of screws for May 26, this timeline seems relatively short but may still be appropriate depending on her healing progress. If her X-rays show good healing and she is not experiencing significant pain or complications, the surgeon may feel confident in proceeding with the removal.

If you have concerns about the recovery timeline or the appropriateness of the planned screw removal, it is always advisable to seek a second opinion from another orthopedic specialist. They can provide additional insights based on their assessment of her condition and recovery.

In summary, the right time to remove bone screws after surgery is determined by the healing status of the bone, the type of fracture, and the surgeon's clinical judgment. Regular follow-up appointments and imaging studies are crucial in making this decision. If there are any doubts or concerns, consulting with another orthopedic professional can provide peace of mind and ensure the best care for your mother.

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