Removal Surgery for Broken Screws in Ankle Fracture Repair - Orthopedics

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Removal surgery for broken metal pins?


The right ankle has a fibula fracture, with the ankle stabilized by four steel screws and the fibula secured with a plate.
Six months post-surgery, it was discovered that one of the transverse screws in the ankle has broken, and the fracture gap is wearing down the healthy bone.
The doctor recommends removal, but it requires drilling small holes in the bone to extract the broken screw.
How long is the recovery period for this surgical situation? Is the risk assessment high? (Currently, I can walk and jump, but I'm hesitant to run.
I take care of my child daily and occasionally carry them while brisk walking.) Thank you, doctor.

Ms. Li, 30~39 year old female. Ask Date: 2015/09/08

Dr. Hong Ximing reply Orthopedics


Ankle fracture and fibula fracture, after six months of surgical fixation, should be healed.
If the transverse screw is broken and there are no symptoms, it may not need to be removed.
However, X-ray confirmation is necessary to make a decision.
It is recommended to discuss this with the surgeon before making a decision.

Reply Date: 2015/09/08

More Info


When it comes to the removal of broken screws from an ankle fracture repair, there are several important considerations regarding recovery time and risk assessment. Based on your situation, where you have sustained a fracture of the ankle and fibula, and have had screws placed for stabilization, the discovery of a broken screw can understandably raise concerns.

Firstly, the recovery time following the removal of broken screws can vary significantly based on several factors, including the extent of the initial injury, the condition of the surrounding tissues, and your overall health. Generally, after a screw removal surgery, patients can expect a recovery period of approximately 4 to 6 weeks before resuming normal activities. However, this timeframe can be longer if there are complications or if the surrounding bone and soft tissue require additional healing time.
During the initial recovery phase, it is crucial to follow your surgeon's post-operative instructions closely. This typically includes rest, elevation of the affected limb, and possibly the use of a brace or crutches to minimize weight-bearing on the ankle. Physical therapy may also be recommended to help regain strength and mobility in the ankle joint.
As for the risks associated with the removal of the broken screw, they are generally considered to be low, especially if the procedure is performed by an experienced orthopedic surgeon. However, as with any surgical procedure, there are inherent risks, including infection, bleeding, nerve or blood vessel damage, and potential complications related to anesthesia. The fact that the broken screw is causing wear on the surrounding bone is a concern, as it could lead to further complications if not addressed. Therefore, timely removal is often recommended to prevent additional damage.

It's also important to consider your current activity level. Since you mentioned that you can walk and jump but are hesitant to run, it’s advisable to avoid high-impact activities until you have fully recovered from the surgery. Engaging in activities that put excessive strain on the ankle could lead to further injury or complications.

In summary, while the removal of broken screws from an ankle fracture repair is a common procedure with a relatively straightforward recovery process, it is essential to approach it with caution. Ensure that you have a thorough discussion with your orthopedic surgeon regarding the specifics of your case, including the expected recovery timeline and any potential risks. Following their guidance will be key to a successful recovery and returning to your normal activities, including caring for your children and engaging in physical activities. Always prioritize your health and well-being during this recovery phase.

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