Should I Have My Plate And Screws Taken Out? Hardware Removal Surgery

[@ltamha]

I've just had all my hardware removed and feel so much better already. The wound from the op hurts of course but my mobility is so far much improved and it's only been a week since getting it all out. Very glad I listened to my gut and pushed for the removal, the surgeons were hesitant but I believed it was worth a go and now I'm very relieved I did. The pain from the hardware that was in my ankle was getting no better even after a years time in recovery. You know your own body, listen to it and your gut and if you know something is wrong don't take "I don't know"/"I'm not sure" as an answer from your doctors. Things can only get worse in time if you leave them untreated. Peace and love to anyone reading this, I wish you wellness and safety :).

[@TalkingWithDocs]

Thank you for sharing your experience LTA. Thanks for watching, subscribing and sharing with someone if you did.

[@alfredthirdy9716]

where you operated mam !?and how it is going now mam

[@bessote]

Is the removal fully covered by the insurance?

[@thebestkeptsecret2263]

Did your recovery improved after removing the screw? How are you now? Thanks

[@marecee1054]

Thanks for sharing your own personal experience, I found it useful. I too am currently struggling with mobility issues and ongoing pain in my ankle which I think is because of these screws and plates, even after going to physical therapy 2 days a week for over 6 weeks now. I wholeheartedly agree (with you) about listening to your gut and doing what you think is best, especially listening to your own body. My surgeon too is reluctant to remove them, but I'm going to keep pushing for removal after waiting a year. Although I'm fully aware of the consequences I'm willing to take the chance.

[@8strings]

I had my metalware (7 screws & 1 plate) removed, 15 months after a Weber C fracture. Strangely for me, US/Canadian surgeons often even leave syndesmotic screws in place, even fully expecting these screws to break, once weight bearing is commenced. "It does take up operative time that could be used for other purposes"? Yep, I think that might be the main reason. This operation does not pay much and when I talked to an Australian surgeon, he was only willing to take the metalware out in conjunction with an arthroscopy, charging a couple of thousand of extra dollars for the entire procedure. The doctor also advised that he would not be willing to hand me the metalware after the operation. So I decided to head to Europe (Berlin), where I had all metalware removed for a couple of hundred Euros, versus in excess of A$3,000 in Australia. My surgery happened 6 days ago and I feel terrific. No more pressure in that area and totally worth the long journey. Always consider that surgeons are also business people.

[@TalkingWithDocs]

Removal of hardware is a controversial topic. In general, hardware removal should be considered when the hardware is symptomatic. Broken hardware is actually often asymptomatic and can remain in place permanently with no negative effects in many cases. You are correct that syndesmosis screws often will break and are left in. I am sure the reason to not remove hardware varies but the main reason is likely a desire to avoid the risk of surgery if it is not absolutely necessary.

[@R4W88]

Hey 8strings Im thinking of having my hardware taken out, what hospital did you use in Berlin? thanks

[@amalekita5009]

@@R4W88 you dont have to go in a hospital in berlin there are plenty of good hospitals in germany i have to know it i live there

[@amalekita5009]

good thing we got a health insurance in germany so we dont have to pay for each operation only like 100 to 200 euros per months max

[@amalekita5009]

@@TalkingWithDocs Jeah i have a radiusfractur and got a metal plate with 4 screws in it and an ulna fracture with one screw very close to the wrist and i have problem number 2 and 3

[@alexv90]

coolest , easiest , simplest , clearest video on the subject ran outta words thank you doctors!!!

[@TalkingWithDocs]

Alex! You are too kind. Doing our best to keep the channel informative and somewhat entertaining. All the best. Thanks for watching and subscribing if you did

[@CuivTheLazyGeek]

I had an L1 burst fracture, with spinal fixation done over a year ago (from T11 to L3). It reduced my mobility, and the surgeon who did the fixation told me it was better to remove that hardware to put less strain (over many years) on the surrounding vertebrae. I just got the hardware removed and already I feel so much better!

[@TalkingWithDocs]

Very nice. Glad you are ok. Thanks for watching and subscribing

[@Boudreaux911]

Cuiv, The lazy Geek. I was wondering what kind of pain you were having before they took hardware out? I have T12-L1 fused 4 years ago and now it feels hardware is causing problems. Thanks for sharing your story!

[@CuivTheLazyGeek]

@@Boudreaux911 For me it was mostly a constant kind of pain right under one of the fixation rods getting worse with exercise, along with very easily feeling fatigue and strain on the area around the hardware. Commuting on crowded Tokyo trains during the rush hour always had those symptoms come up, so it wasn't great for work. Lying down from time to time helped a lot though...

[@clintdarquea3719]

I have a t11-l3 fusion almost two years ago. I find the hardware to be pretty painful bu I've been extreamly nervous about another surgery and having it removed. Has anything gotten worse since having it taken out?

[@CuivTheLazyGeek]

@@clintdarquea3719 It's much better since I got the hardware out. I basically feel like I'm back to normal, as I was prior to the accident! No pain or anything. I'm 38 though, so I'm still relatively young.

[@doreenviscardo9126]

Hi Docs, love your videos. I fractured my wrist 1 1/2 years ago and had a titanium plate and screws put in. Seven months later had hardware removed due to pain. Removal went well and dr found a neuroma, cauterized and buried it in screw hole and held with bone wax. Still had discomfort and pain but went for months of occupational therapy and felt well for 3 or 4 months. One day kept flexing wrist and now have had pain almost daily that doesn't resolve except while sleeping. Went for a second opinion was blown off. Dr took many x-rays and kept saying "not bad". Wrist healed straight. I requested another ultrasound trying to rule out nerve or tendon problem. Dr. said what he was able to see looked good. MRI after hardware removal showed some mild tendinosis. I am at wit's end about what to do. I keep telling myself I had felt well and can get back to that point. It really takes a toll on your mind when a dr says you might have this forever. It also hasn't been a year since removal. Any encouragement or suggestions would be much appreciated. Have you ever heard of success with acupuncture? Dr would not give cortisone shot. He said skin is too thin and discolored. Thank you in advance. I find it incredible that you take the time to answer all these questions.

[@TalkingWithDocs]

Sorry to hear this Doreen. It can be complicated and often a specific cause of the pain cannot be identified. Acupuncture is worth a try. Cortisone same. Maybe topical medication. Physio. Best of luck to you. Thanks for watching and subscribing

[@doreenviscardo9126]

Thank you so much for your response. I'm telling myself that if I was able to feel good for 4 months post hardware removal, I can get to that point again. Believing that is more than half the battle. Thanks again!

[@rakeshroshan8279]

​@@doreenviscardo9126How are you know brother?

[@NeetiB]

Thanks for this video! i recently got a plate in my foot and was confused about a lot of things that might come in the next 1-2yrs. This clarifies a lot of doubts and such a to-the-point video... THANKS!!!!!!!!!

[@lindamartin6860]

I had ORIF for a broken ankle 14 months ago. A metal plate and 6 screws were installed. Two screws went through the ankle bone. The ankle screws rubbed against any shoe I tried and every step was painful. I had all hardware removed 6 weeks ago. It’s no longer painful. The ankle is a little stiff, but I am hopeful it loosens with exercise. Even if it doesn’t, the pain is gone, and the 13 minutes in the OR was totally worth it.

[@TalkingWithDocs]

Thanks for sharing

[@michelleongoro5495]

Just a question when its cold why does the plate give a tingling sensation

[@lindamartin6860]

@@michelleongoro5495 I assume it’s the metal reacting to the cold. Mine ached in the cold.

[@michelleongoro5495]

@@lindamartin6860 oh really does stop at some point or will it be there for a long time

[@lindamartin6860]

@@michelleongoro5495 To my knowledge, as long as there is metal in there, it will react (ache) in the cold.

[@omarelammari2348]

Thank you, doctor. I broke two bones in my forearm and have had hardware in place for over a year. I work out regularly, but sometimes I experience slight discomfort. Should I consider having the hardware removed ?

[@oioi-skank8547]

Got out of surgery yesterday only had 2 screws put in my ankle. Anxious and scared was a understatement. Got nothing but massive appreciation to these doctors and nurses (first time ive had to have any op done)

[@TalkingWithDocs]

Hi oioi. Hope you are doing ok now. Speedy recovery. Thanks for watching and subscribing if you did

[@alkalagratamira6263]

Hi oioi-SHANK. After how long from 1st surgery are your screws supposed to be taken out?

[@LaurenLawDawg]

Oi! Oi! Skank Have you had issues w hardware because I wanna pay extra for gold. Lmk. Oi! Oi! SKUNKS 🧷

[@ruslang68]

Hello, Doctors! I am impressed that you comment every single comment! Could you, please, answer my question? I just had ORIF calcaneus last week, and the screws and a plate on the outer side. How does the skin fix itself over the plate? Is it hanging lose, so I can pinch and pull it off? Does it attach itself to the heelbone through the remaining holes in the plate? Does it get discolored? Thank you. 2) can the bone grow over the plate causing ugly bumps?

[@TalkingWithDocs]

So the skin will adhere to the plate somewhat. The bone may grow over the plate but not always. It can be prominent in this area. Hope that helps

[@matthewgraham2546]

Plate and screws in my fibula by the ankle for 35 years, no problem with it. Glad to see this video I can directly relate too.

[@TalkingWithDocs]

Leave it in there!

[@meditatesleepandtravel8795]

Wow, first time to know its ok not to remove...how old you then? is it titanium?

[@tigergold999]

Back in January of 2015 my son broke his upper right femur while at hockey practice. The orthopedic surgeon placed a rod in the bone and 4 metal screws (2 high and 2 low) in the bone to hold the rod in place. Three years later and my son tells me he is beginning to feel discomfort from where the screws are. We've consulted a orthopedist while he was being seen for a totally different injury this year (2017-18) and he said that it's up to him whether he wants to have surgery to remove the screws. My question(s) is, if he has surgery to remove the screws, will they also remove the rod in his femur or will that be left in? Will he also have to undergo post surgery physical therapy or just a few days of bed rest and recovery?

[@Danny-hv9ox]

I had my screws removed from my knee, but my rod was left inside my femur. They said if it's not bothering you then to leave it. The screws in my knee however was pitching me from the inside over the years.

[@Sebas_tian_]

@@Danny-hv9ox i JUST had that screw by my knee removed 2 weeks ago. I left the rod in though (reinforced femur? Why not lol). That screw was pinching pretty bad. I also had plates and screws removed from my right fibula, left radius / ulna and right radius. Main reason was because my left arm was still hurting at the gym even after a year and a half from my accident. If any1 is thinking about removing hardware wants to know an update just reply and ill reply back at that given time. God bless!

[@alfredthirdy9716]

@@Sebas_tian_ sir i have my plates and screws in my left forearm just had surgery 3 weeks ago. how long will ever go bck to normal. and how long did it stay to your bones the plates screws in your radius and ulna before you removed it.

[@nicolaxoxo1]

@@Sebas_tian_ lots of injuries, wow. I just fell on Christmas morning and shattered my radius and broke my ulna. Also displaced wrist bones. No hand surgeons available due to the holidays so I had a hellish 16 day wait for surgery. I am allergic to most metals. So he found a polycarbonate plate but unfortunately titanium screws. PS there’s no such thing as 100% pure titanium despite what Drs say. There’s ALWAYS trace metals. Titanium is soft, nickel and cobalt are hard and cheap. Sometimes trace metals cone during manufacturing. In any case my pain and swelling and discoloration are worse than before surgery so I am hoping to get this shit removed asap! I was in great shape and very flexible before but not have already lost 90% of my arm muscles in just this month of inactivity. Since surgery I go to therapy but can not bend fingers or move my wrist. Pain is awful despite pain medication. I cannot imagine how long until I can lift weights or do arm balances (yoga). Really bummed.

[@Sebas_tian_]

@REVOLUTIONARY hey how are u and to everyone else.. so it's been 5 months or so since I had the metal removed. My arm feels GREAT. seems like the screw that was backing out was definitely causing the pain. My arm is now fully healed and I even got back into the gym. Been pushing and curling decent weight with no trace of the previous pain. I had to wait this long due to a Tendon being very inflamed as well from the removal process but I can tell u I'm extremely happy with the results from removing the hardware. Unfortunately my foot did receive permanent damage and will eventually need an ankle replacement but for now I'm not complaining. Happy I can still walk. Every case is different and for me it's been a very positive outcome from removing the hardware.

[@spencrob]

Hey thanks for taking the time to educate us! I had an open fracture on my tib/fib and a spiral fracture on my femur and I have 2 IM rods. I am experiencing large amount of pain above the kneecap whenever I extend my leg, it feels like the IM rod is pressing into the joint, it's only been 6 weeks since the operation, but I feel like my PT exercises are causing me more and more pain, and causing the knee to become more swollen. I am only 21 years old, if I am adamant to get all the hardware out, can I get the screws and rods out at the same time? Do I get the femur rod out first?

[@TalkingWithDocs]

Hi spencrob. So you've had a lot of surgery. There are a few things that can be causing the pain above your patella. It is always important to see your specialist for an examination and if you have severe pain a new xray to make sure everything is where it needs to be. As far as removing hardware, if the femoral rod was put in retrograde (from the knee), you may be able to have them out through the same inicison. If not, you could still consider having both out at the same time. Usually you would have to wait at least a year and would want to ensure complete bony union. Open tib/fib fractures have a tendency to take longer to heal. Just don't start smoking as it will delay bone and wound healing. Good luck!

[@spencrob]

Ahh that makes sense doc, I must have 3 screws at the top of my femur rather than the usual 2. I gather they would have used the incision above the knee for both the femur and tibia rod. I have taken your advice from another video and today I bought myself some vitamin D to ensure I am sufficiently nutriated. In regards to smoking I stopped cold turkey after my accident, I hope I get union, because I would be suicidal if they have to replace this nail due to non-union. This surgery is pretty cruel and if I had the option of an external fixation device I would have leapt at the opportunity. Thanks for your help docs!

[@thebestkeptsecret2263]

Did they remove your screw eventually? How are you?

[@craigsampson4602]

Thanks for the information What is the normal recover time after having a plate and screws removed from an ulnar bone ?

[@evachebishev4339]

I had a bimalleolar ORIF in December and it healed just fine. Then 6 months later my roommate’s cat bit my ankle right on the scar which led to a MRSA infection of my ankle and emergency surgery for hardware removal the day before my college graduation! I made it to graduation in a wheelchair with a huge cast and hooked up to a drainage bag LOL but it could’ve been a lot worse. I’m glad we caught it before it became septic. Moral of the story: always get things checked out and don’t wait until the last minute. Now I’m just waiting for my incision site to heal and to finish my course of antibiotics 😊 hopefully all my ankle drama is finished

[@TalkingWithDocs]

Hi Eva. Crazy cats! Glad to hear you are on the mend. Keep getting better and thanks for watching. And congratulations on your graduation!

[@alidavalentinagosgnach700]

Thanks for your informative video docs! Question, can you have screws put in your hip? If so how long do you have to keep the in?

[@TalkingWithDocs]

Hi Alida. Yes depends what it is for. Most can come out. Thanks for watching and subscribing

[@steve00alt70]

But isnt the leg stronger than before?. Removing it only takes 15 mins some surgeons say. Mine with the metal work, fractured fib and tib 2 years repaired after surgery. Safe to do downhill skiing? Or teakwondo?

[@ericlodewijk]

no not safe if you ski again and break it in the same place.The hardware will then cause serious problems and may result in ruptured arteries due to the sharp fractured hardware

[@anamika7559]

Need few clarifications: 1.Is titanium durable for the life time and need not to take it out? 2. Can I have my normal routines as before??

[@TalkingWithDocs]

Hi ANAMIKA. Yes the plate can last forever. Returning to normal routine relates more to your original injury than having the plate removed. Thanks for watching and for subscribing if you did.

[@julie4289]

Hi i had surgery 2 weeks ago for a broken wrist. I now have a plate. Your explanations for leaving the plate in are informative. However, i understand that plates have only been used since around 2000. Therefore, i am concerned of the long term effects of keeping the plate in. So any stats on the long term effects will not be older than 18 years. I am trying to make an informed decision about whether to have the plate out. My gut feeling is to eventually remove this useful, but alien, object! Thank you for your help.

[@youngman7600]

Dude I'm not trolling you at all. These guys are Canadian Universal Healthcare Asshats. I had two metal plates and twelve screws on my left forearm implanted 13 years ago. They bothered me the whole duration of the time. I just recently got them out about two months ago and the difference is mindblowing. If a doctor tells you no, go to another doctor. Spend the money do whatever you have to do just GET THOSE OUT

[@halamanmahiwaga2063]

@@youngman7600 how you feeling now bro? im planing to remove my plate in my forearm after 2 years im only 5and a half months post op.

[@youngman7600]

@@halamanmahiwaga2063 Amazing brother I can get back to doing all the things I love. Actually just got done boxing lol

[@halamanmahiwaga2063]

@@youngman7600 sounds good! how long the hole in the bone will heal? and how long the operation? i only have 1 plate and 6 screw on my radius bone

[@youngman7600]

@@halamanmahiwaga2063 Give it 6 months to be on the safe side. I had 2 plates on that bone and I'm back to normal. I'm so happy with the decision to get the plates out

[@edwardbrothers5597]

Informative and interesting as always. Just 2 weeks post LAPIPLASTY surgery, I never thought about the possibility of having the plate or plates and screws removed and don’t think that was ever the plan. Hoping there will never be a need for that. Other than this annoying boot I have no complaints. Great videos that always answer questions of inquiring minds with reduced mobility.

[@TalkingWithDocs]

Glad we could help Edwards Brothers. Thanks for watching and subscribing if you did

[@sl4081]

Hello, once the hardware is removed from the ankle, when would it be a good time to start with Physiotheraphy? As the numerous screws removed leave behind a lot of holes in the bone. And also when would one switch from partial weight bearing to full weight bearing keeping in mind about the holes in the bone and not to risk cracking them? Thank you in advance.

[@TalkingWithDocs]

Hi G A. It is impossible to give specific advice to your situation without examining you and your xrays however generally speaking physiotherapy would start once the wound is healed - often around 2 weeks. As for weight bearing it would depend on your exact procedure but often patients are able to nearly full weight bear very early on. Ultimately it is up to your treating surgeon who you should discuss this with.

[@tonyzunigamusic2811]

Thank you gentlemen for your insight. I recently had an accident. I took a fall rock climbing and fractured my calcaneus. I currently have three screws and I have the option of getting them removed. My question is whether the gaps or holes left from the screws will heal properly crating new bone and fill the holes. I’ve read and researched and have had different opinions on whether the holes would heal properly or not and now I’m not sure if I should have them removed or leave them in because having the the hardware removed might give me a risk of re-injuring due to screw holes not healing. I would very much appreciate your opinion. Thanks you and God bless 🙏🏽

[@TalkingWithDocs]

Hi Tony. So we usually recommend leaving them in unless they cause a specific problem. You will likely have some persistent pain due to having a fractured calcaneus. It can be a bad injury. Often the holes will fill in but it can take a long time. Worth a chat with your surgeon but we try to leave them in

[@danielsonscott3038]

If the idea of having metal stuff in your system bothers you get'it removed, it feels relief!

[@TalkingWithDocs]

It is a very personal choice for sure. Thanks for watching and subscribing

[@debrao4756]

Hi Docs, Thanks for this video. I have osteoporosis, and broke my radius and ulna 26 months ago. After ORIF and plate & screw insertion, I've had constant pain for 26 months, which is increased when I twist my wrist. My doctor has mentioned hardware removal, but isn't sure it will remove my pain. How does one know if it will or not? And is it dangerous to do this surgery with osteoporosis? Also if it's not a pins and needle type pain, is it most likely not a nerve issue? Thanks in advance for your response.

[@shahree100]

Canadian Surgeons rule!! Thank you!!

[@TalkingWithDocs]

Hi Shahriar. Thanks for the positive feedback. We are doing our best.

[@crissy7399]

Should I have them remove my screws? My radius was broken and "fixed" 3 months ago with a titanium plate, and my thumb still isn't healing properly and the doctor thinks the screws are too long, specifically one that may be interfering with tendons/nerves. Your recommendations are 1-2 years, although I'd rather get it all out if I'm getting some out, but maybe just removing screws is not as risky.

[@TalkingWithDocs]

Hi crissy7399. We recommend delaying removal primarily for the bone healing aspect. If there is a specific issue that is irritating the tendon, it may be necessary to remove it sooner and prevent further damage. The tendon to the thumb can be impacted by the plate and screws. Definitely worth discussing with your surgeon. Good luck and thanks for watching.

[@crissy7399]

@@TalkingWithDocs so they did a CT scan and nerve study and decided that yes, the screws are too long (I think the middle ones 2mm out of the bone) and causing the interference. The surgeon said that my bone has healed enough and they are removing in 3 weeks which puts me at 6 months exactly. I hope that's okay, but he is also concerned about the tendon rupturing if I wait too long. He is also doing an EPL, ligament release..transposition on the top of my wrist as well and will look at the tendon and make sure nothing is wrong with it. thank you for the information.

[@silverfox8244]

Thank you so much for this very informative video. Had fibula plate put in on Oct. 31st. It drove my mad crazy hopping around with my walker on one foot for six weeks. I'm at 50% weight-bearing and in therapy, I am so anxious about recovering during the winter months in MI. I'll be doing the best I can, just hope we don't get a lot of snow and ice. Thanks again.

[@TalkingWithDocs]

Hi Silver Fox. You are very welcome. So sorry to hear that you broke your ankle and had to have surgery. Time to look forward to your recovery. Yes the snow can be tricky - we know it up here in Ontario. Best advice is to go slowly. Good luck and thanks for watching.

[@c-maxprime]

Hi 😊.. i also just had plates fixed on my fibular..was hoping if you'd be able to give an update on how you are doing now. Just so i can know what to expect. Thanks

[@lewellavez3920]

Should I be worried about the metal eroding over time and seeping into my bloodstream? I've had titanium hardware in my forearm for over 12 years and I'm just wondering if there's any risk of blood disease or cancer. Thanks!

[@TalkingWithDocs]

Hi lewellavez. There is no evidence that metal from the hardware can leech into your system and cause cancer. There is some concern about metal on metal total hip replacements due to the metal bearing surface. Hope that helps. Thanks for watching, subscribing and sharing with someone if you did.

[@BerylWhiteBing]

At 59, I broke my ankle in 2015. its been a year and I am trying to make a decision on removal. My GP said exactly what you did, why go through surgery if its not bothering me. Thank you for confirming.

[@TalkingWithDocs]

Glad we could help!

[@ginskingpak7241]

Talking With Docs I had acl hamstring surgery three and half years ago and I feel pain in tibia and couldn't walk more than 1mile .could you tell me what causes would be possible. no swelling just pain and little bit stiffness

[@mickpinwell59]

Talking With Docs ...Hi I had hardware put in at l4/s1. My surgeon has opted to remove it as my disc at l3 has a problem but mri's are a problem because my hardware is effecting the pictures. My hardware has been in for 28 years.

[@IhsanDriouach]

Hello Doctor, is titanium harmless over a long period of time? Are there people who have minerals in their bodies for more than 40 or 50 years?

[@TalkingWithDocs]

Yes it is

[@athuljiths5906]

Does the screws get loose? Can i go to gym while having hardware in forarms? (Im not removing my plates and screws.)

[@TalkingWithDocs]

Hi Athuljith S. So they will probably not get loose. And yes you can go to the gym. Hope that helps. Good luck. Thanks for watching, subscribing and sharing if you did.

[@kartiyaee5589]

@@TalkingWithDocs I’m 15 I fell 40ft and I’ve broken my spinal cord, pelvis bone and back bone they put in screws, plates and rods in my back and I healed up in 1 month but to be exact 3 weeks with no physical therapy thanks for the tips :)

[@alfredthirdy9716]

@@kartiyaee5589 does the screws plates fell your back or you are good to do your normal activities

[@powerfulaura5166]

Hello Doctors, my diabetic brother got a metal implant a couple months ago but has developed a postoperative infection. He's been prescribed a targeted antibiotic for it that's keeping it at bay, but as I understand it the metal must eventually be removed to stop incubation of the infection. My question is, in cases of infection like this, when should the metal be removed according to your practice? Thank you.

[@TalkingWithDocs]

Hi Powerful Aura. Sorry to hear about your brother. Typically the metal would be taken out once the bone has healed if you can wait this long. Hope that helps. Best of luck. Thanks for watching, subscribing and sharing with someone if you did.

[@pedromax6878]

Is it necessary to remove my screw? I had dynamic hip screw on March 3 2018 my bone healed but im afraid about removal of this due to long recovery and if it is necessary when to remove.

[@TalkingWithDocs]

Hi Peter. The vast majority of hardware can remain in place. The main indication for removal would be local pain or if the screw was doing damage to the joint. Good idea to discuss this with your surgeon but they usually stay in. Thanks for watching.

[@thebestkeptsecret2263]

Did they removed your hip screw? What's the update?

[@tuppence71]

Two years ago I broke and shattered my left femur while hurrying down my carpeted stairs. also broke the left wrist. A steel rod and screws were used. Next week I will visit my orthopedic surgeon to see if the bone has healed enough to remove the rod and screws.. I work hard every day to heal the bone. The leg hurts after sleeping and several time during the day. I've used Doterra Deep Blue Rub every day since which helps. I am 80 years old otherwise in excellent health. Would you suggest removing the plate. It is my dream to have it done with some reservations. Thank you for you help.

[@TalkingWithDocs]

Hi janie. Do you have a plate or a rod in your femur? Either way, it is important for you to discuss with your surgeon whether or not they think that your pain is coming from your hardware. Sometimes after surgery people have pain related to the initial injury and removing hardware may not alter this. You just don't want to be exposed to the risks of surgery if the chances of improving your pain are low. Hope that helps.

[@NPS113]

Hey! I've been struggling with this question (whether ir not to remove my hardware ) because i had a scoliosis correction surgery 8 years ago, when i was 14. Since the last year my scar has been infecting on and off, to the point that, when it heals, it forms a depression on the skin. I wonder that, if i do proceed with the removal, how are holes the vertebrae supposed to heal ? Is there any bone density loss after the removal? Will i be able to continue weightlifting sports? Would love if someone could advise me and answer my doubts. Thank you!

[@mnqobingcobo3200]

Talking With Docs please respond to this question.

[@Dounjikootsvet]

Anything about Removal they don't want to talk to you about. How else do they make money if you're well and never depend on medications! I took mine out regardless and I feel great! You're the person in pain. Doctors won't know how it feel unless they are the patients period.

[@Dounjikootsvet]

Do what makes you feel good now...tomorrow may never come!

[@SA-dy2if]

@@Dounjikootsvet your comment is so on point, I broke my ankle in 3 parts and I've got a lot of metal work that I want removing. It's so painful and as I'm quite slim it's very prominent and it's such a struggle to sleep or even go about my day. The problem is the Dr is only wanting to remove part of it and not all at once. I'm pushing for it all to be removed at once or if he doesn't agree to get refered to the hosiptal I got treated (which is not local to me as it happened in a diff city). It's so hard to persuade them But I'm going to keep fighting and not give up. At the end of the day like you said how will the Dr know the full effects, it's we as individuals who have to go through the agony and stress 😣.

[@alfredthirdy9716]

@@Dounjikootsvet where is your hardware remove

[@eldiegz83]

Hello, you said severe pain. I have a plate on my lower right jaw from a double jaw surgery and I’ve experienced pain not severe but a little inflammation with some pain. I had this pain once a year in two occasions. Would it be necessary to remove it? Thank you

[@GDL88]

What if you break the bone again while the hardware is in. And also i was given a metal rod and my doctor said that eventually it will just disappear into the arm. I have had two rods in my radius and ulna for 7 months and im about to have surgery to take them out in a few weeks

[@TalkingWithDocs]

Hi DriftSlayer101. So if you break with hardware in place, you will break above or below it. The hardware will not disappear. Good luck with your surgery. Thanks for watching, subscribing and sharing if you did.

[@alfredthirdy9716]

do you remove your metal plates and screws

[@alfredthirdy9716]

have you remove your metal screws in ur ulna and radius

[@GDL88]

@@alfredthirdy9716 no not yet

[@GDL88]

@@alfredthirdy9716 because of covid it was delayed by a lot

[@-Mahitha]

I had my surgery for leg inserted with plates and screws 5 years ago .. is it necessary to remove it ? Is it dangerous to be removed after these many years...?

[@TalkingWithDocs]

Hi Raja. We usually tell our patients to keep the hardware unless it is causing severe pain. Thanks for watching and subscribing if you did

[@JohnnyTHolland]

Thanks chaps and I found your advice very useful and pragmatic. I have an old tibia metal plate and 5-odd screws which have been in for over 40 years and have not intention of having them removed if I can help it - though a TKR may not be easy. Whilst I am sure the older 'Doc' won't like me saying so, the combination of you two Doctors as the younger, enthusiastic and questioning Doc and the older, dry humoured, sage Doc works well (!).

[@TalkingWithDocs]

Thanks so much Johnny. Truth be told we are pretty close in age and trained together. Good luck to you and stay safe. Thanks for watching and for subscribing if you did.

[@kaypendergast5676]

@@TalkingWithDocs really? I think you need to clarify what close in age means? You look say maybe 35yrs and he looks about 54yrs.

[@IhsanDriouach]

What year did you have the operation?

[@robinhood9385]

Hi Doc, Thanks for the informative video, I had a left collar bone surgery about 10 years back, recently i am having discomfort on the collar bone, not sure if it's caused by side sleeping, but I have been side sleeping forever, do i remove the hardware. Thanks in advance.

[@TalkingWithDocs]

Hi Robin Hood. Sometimes hardware removal can reduce your pain. Requires a new xray and exam to find out exactly where the pain is coming from. Good luck. Thanks for watching, subscribing and sharing with someone if you did.

[@robinhood9385]

@@TalkingWithDocs Thanks for the advise, you are doing a great job 👍

[@Dinelie]

Is there a chance I can get a minimally invasive removal l4/5

[@TalkingWithDocs]

Hi Dinelie. Thanks for the question. It depends on the hardware you have in place and would best be discussed with your treating surgeon. Thanks for watching.

[@gangaramtamang7640]

Hi dr i am from nepal Please please suggest me I had surgery 15 years before because of my humarus fractured so i had 2 screws and two wires in it. I am planning to removed it so I would like to know i am doing right or wrong please share your experience and thoughts thanks

[@powerfulaura5166]

Hello Doctors, thank you for your prior response & kind words. It's been decided by my diabetic brother's doctors that his metal plate & screws (reinforcing his comminuted upper humerus) should be removed permanently in a few days after it's been in for ~11 weeks, in order to try completely kill off the postoperative infection via IV. Do you have any commentary on how his arm might hold up without the metal & what we could do to keep it strong/safe? Thank you.

[@TalkingWithDocs]

Hi Powerful Aura. Sorry to hear that but it is good to have a definitive plan. Hard to give specific advice without an examination and review of his imaging but they will likely provide him with a sling and possibly some type of brace or splint. Best of luck. Thanks for watching, subscribing and sharing with someone if you did.

[@metehand8838]

Hi I broke my hips when I was 16 now I m 26 years old and my legs is so much hurt when it’s cold when I walk and get tired and making me hitch if I will remove plates am I gonna be alright ?

[@AnimeBee25]

Yeah that happens with me too. I had an ankle surgery with a plate and screws. Whenever I ride a bike or it becomes so cold outside it starts to hurt. I don't know what to do!

[@wg_gamer8496]

Remove them it will be fixed my cousin had the same issue. After removing the plates it stopped hurting

[@AnimeBee25]

@@wg_gamer8496 on 7th January this month I got them removed. Now my cuts are healing. I didn't took a step from 7th January. Now I'm trying to walk. But whenever I put whole weight it feels like my ankle is electrocuted. It's a scary sensation@@

[@bessallin459]

I broke my tib and fib in 1999 , I had a plate put in 2000. Off course it hurts occasionally in wet or cold weather. Used to it now. But I doubt these are genuine medical consultants. A dr will never advice a plate removal

[@AnimeBee25]

@@bessallin459 Now I can walk properly. It's more than a month my implants get removed. Walk properly but hurt a little if I do lot's of work standing

[@lorialdrich2991]

I had surgery on my hand for a torn ligament. While doing physical therapy the surgery failed. I am now going for a second surgery to fuse my thumb . There are two screws left in my hand from the previous surgery. One is sticking up , I can actually see it . The other screw is lose . X-ray has confirmed this , I have alot of pain . Should I have the screws removed during my next surgery?

[@srishti3588]

Hello sir I'm very nervous, I have plate in my skull because of blood clot and now when I touch my head I can feel the screw is it OK sir? Because I don't want do that all over again... Please reply doc

[@TalkingWithDocs]

Hi Srishti. So prominent hardware is common. If it hurts, you can see your surgeon to discuss removal. Hope that answers your question. Sorry for the delayed response. Thanks for watching and subscribing if you did.

[@advcardio]

Your Videos are very helpful and brilliant - thank you. I have 2 screws from ACL surgery (20 yrs ago) and now need TKA surgery - the screws are in the way and need to be removed. Question: What is the advantage of a *staged* hardware removal procedure vs doing it during TKA?

[@TalkingWithDocs]

Hi advcardio. Thanks so much and you are very welcome! So the main benefit from a staged removal of hardware (speaking generally) would be that it would allow you and the surgeon to determine if the hardware was in any way related to your pain. Secondly, it reduced the amount of time it takes to do a total knee so would typically make that procedure easier. Third, it can potentially reduce the risk of infection at your knee replacement. The other reason is if removing the hardware leaves a hole in the bone, that could be bone grafted, alllowed to heal and restore some of the bone stock before having the knee replacement. Having said that, for ACL screws, the incision does not typically have to be extended significantly and they often come out without incident. Best of luck to you. Thanks for watching and subscribing if you did.

[@VK-vt4hg]

thanks for reply

[@TalkingWithDocs]

Welcome VK. Thanks for watching and subscribing if you did

[@gurshantsukhija431]

I had a ankle fracture 20 years ago, at the age of 12. 4 rods were placed inside which were tied with wires. Now I want to get the rods and wires removed. Docs saying it's a very risky surgery, as bone scraping might be needed to remove and maybe some part cannot be removed. I have little pain nowadays. Should I go for the surgery?

[@TalkingWithDocs]

With minimal pain we would tend to say no

[@gurshantsukhija431]

@@TalkingWithDocs Fine. Appreciate your response. Any exercise or medicine would be helpful!?

[@ahsantanveer8055]

May I will feel pain when my plates were removed from my arm

[@TalkingWithDocs]

Hi Ahsan. It will be painful for a couple of weeks typically. Thanks for watching and subscribing if you did.

[@ahsantanveer8055]

A lot of pain or little pain that I can handle

[@ChrisSmith-ro3mn]

After having screws and plates in my ankle for 10 years, I’m finally feeling pain and discomfort, especially in the snow. Last year I had multiple knee operations on the opposite side, and favoring the ankle has made it more annoying. Should I consider having them removed?

[@TalkingWithDocs]

Worth considering. Get an X-ray and an assessment as see if the hardware might be the cause Vs post traumatic arthritis. Best of luck

[@ChrisSmith-ro3mn]

@@TalkingWithDocs thank you for the response!

[@bernardrubble8703]

Broke my collarbone skiing a few years ago . Healed very well but the bone grew around the break and I’m sure is stronger than surrounding bone . Two weeks ago my wife fell off of a ladder picking cherries . Acute dislocation and three fractures required screws and plates both bones just above the ankle . My wife is depressed thinking she’ll never be the same , has pain from what I assume is torn ligaments or tendons . If this hardware is removed will the bone reconstruct these areas naturally as my collarbone did ? If the answer is yes , removal is a no brainer . Any comments are welcome.

[@TalkingWithDocs]

Hi Bernard. The ankle because it makes up a joint is much less forgiving than the clavicle. It will likely heal. Time will tell how much pain and stiffness she has after recovery. Often hardware is left in place. Best of luck to you wife. Thanks for watching and subscribing

[@Swim2life]

My doctor recommended my plate to be removed. It's been nine months and pain and certain hand movements are a bummer. I am very happy about it. I can easily feel the screws in my forearm. As you gentlemen stated, my doctor wants to make sure whatever lingering pain is not being caused by the plate. I do have a question(s). Will another nerve block be in place for hardware removal and how long until returning to work. I know staples/ stitches are in for a good 2 weeks.

[@TalkingWithDocs]

Hi Heather. There are numerous factors to consider. The majority of healing after injuries like these takes place in about a year. If you have ongoing pain there are many possible causes. The presence of hardware can be one of them and especially so if you can feel the screws. It is important to remember that you can still have some residual pain once the hardware is removed and occasionally new pain. Usually the healing after hardware removal is faster than when the bone(s) is broken. Typically two weeks for staples but generally 6 weeks for soft tissues to heal with physio. Returning to work depends on your job as well as the location of the hardware - usually 4-6 weeks. Regarding the nerve block, it depends on the center - sometimes it is done under a general anesthetic and sometimes with a nerve block. Hope that helps

[@Swim2life]

Talking With Docs Thank you for responding. My hardware was removed yesterday. I was extremely nauseous afterwards. I believe the anesthesia caused this. The pain isn't as bad as when the hardware was put in place, but it still hurts. I do however still have a separate pain in my wrist. It pops. I will question that at my follow up.

[@ajsmith3121]

@@Swim2life hi how do you feel now after 1year harwared removal? Do you lift heavy load on your arm?what about the screw hole they filled it?

[@mrs.salgado1811]

Heather Borrego I am having this done on Friday after having the hardware in for 3 years. I’m nervous!!! I’ve been having pain and functional issues for the past few months and Dr. recommended to remove hardware because there is concern for tendon rupture. How are you doing post op?

[@TalkingWithDocs]

@@mrs.salgado1811 We are so happy that you guys can help eachother out through a very similar experience! Hope the surgery went well.

[@Milone.]

Hi, I had 2 screws for a left distal femur 10yrs ago. I was okay with the screws avoiding the things that cause me pain. In 2022, I started having a lot of pain on my whole left leg while doing activities I used to do before like walking and standing, sleeping on my left. After consultation, I was told it'd be best to remove the screws to see if that was the cause of the pain. It's now 10 weeks post op and I feel tiredness on that leg, pain and can't squat, or move how I used to before op. I'm almost feeling regret for removing the screws. Was removing the screws the best way to go about ? it?

[@TalkingWithDocs]

Often that’s the case if the pain is in the location of the screws. Often it can be difficult to identify the exact cause. Sorry to hear this

[@marecee1054]

Update: Great news! About seven months ago, I decided to have surgery to remove the screws and plate from my ankle to improve mobility and eliminate weather sensitivity. I'm so glad I did because now I no longer feel like I'm carrying this extra weight, and I can walk just as I did before, including fast when heading for a bus! One reason (but not the only one!) I decided to go through with this was reading the real-life comments on this site from people who had it done. I also knew two people who had the surgery and three who didn’t, mainly because their doctors didn't offer it as an option. By the way, I had an excellent surgeon (Northwestern) whom I trusted completely. Best of all he respected my wishes and didn't try to talk me out of it.

[@TalkingWithDocs]

That is awesome. Congrats!

[@teal1960]

Hi Docs, I recently had a slip and fall on a wet floor resulting in my left ankle breaking. It was a Trimalleolar ankle break and I had to have surgery. The surgery was a success. After 2 weeks post-op, I was put into a fiberglass cast non-weight bearing. Unfortunately, the crutch slipped while I was using them. The heal of the cast hit the ground and then I fell. I called the orthopedic centre and the cast tech said the cast provides protection for things like this and it is fine. It has now been a total of 4 weeks since the surgery. I have a long plate and screws in the Fibula and a short plate and screws in the Tibia. I am feeling a jabbing pain near bottom of the in incision site of the Fibula. Is this the incision or am I feeling the screw(s) against my skin and would the post-op fall have affected/bent the screws and compromised ankle's healing? I'm very worried

[@TalkingWithDocs]

So often the bottom of the plate can be felt as the amount of tissue here isn’t very much. It is unlikely related to the fall. Only way to be sure is with an X-ray. Best of luck to you!

[@albania10]

Thanks for sharing this informative video. I have one question pls, I have a tibia plate operation, as I had great pain on my right knee, doe to my football injury’s, but after 1 year of operation, I am still in lots of pain and still can’t run properly, so the question is removing the metal plate, would that help, with the pain and the swelling? Thanks 🙏

[@TalkingWithDocs]

Hi kashi. The answer really depends on the location of the plate and what is going in inside the knee. It is possible that it could be related to the plate or may be related to a different cause. Best to have your surgeon assess you with a physical exam and some new xrays. Hope that helps.

[@pranabeshchanda8227]

Are u able to play after thar

[@carolinekoehler9041]

I had a tibia plateau fracture with a grade 3 LCL rupture in 2019 that needed reconstruction. A plate and 8 screws later I had the hardware removed after 2 years due to significant pain/limitation of ROM and swelling. Absolutely life-changing. I had to go to another surgeon to get it removed because the original ortho refused to remove it. If you're suffering with issues long after the bone has healed, speak up. You WILL find a surgeon willing to help you out.

[@TalkingWithDocs]

Hi caroline. We totally agree. If pain persists, it certainly can be related to the hardware. Thanks so much for sharing your story. Glad to hear you are doing well. Take care. Thanks for watching, subscribing and sharing if you did.

[@prettybrowneyes1020]

I have a tibia plateau fracture as well. I slipped and fell on the wet grass in 2017. The past year my knee has had so much pain. It’s sometimes unbearable to walk. I’ve had one cortisone shot in 2020 and another shot( can’t remember the name) back in April 2022. Neither shots have worked. I’m also dealing with plantar fasciitis. I’m not sure if it’s related to the screws or not. I’m desperate for some relief.

[@outspoken3297]

I had tibia fracture and 7 screws and plate the bone is healed but my leg feels like ice specially in cold weather the doctor is trying to frustrate my not take the plate out but my brain tells me that it's the plate and screws causing this. Can you advise me

[@belgamsafn]

Hi doctors, Quick question. I am planned for LJS plate removal tomorrow (one plate has a bacteria and is a bit visible). I have no pain -Should i ask my surgeon to remove both plates while he is busy with the procedure? 3 months post op

[@coffeecat086]

Just got my plate and screws removed yesterday. Doesn’t hurt nearly as much as it did when going in. Lol broke two bones in my ankle on October 30th and had surgery the 4th of November. Fun stuff.

[@southbay281]

I have 9 screws and 1 plate on my left ankle. I've been really wanting the hardware out. It still hurts to our on a boot. Did that pain go away after the hardware comes out ?.

[@coffeecat086]

@@southbay281 I won’t know that until the sutures heal up honestly so I’ll tell you more once I know more

[@TalkingWithDocs]

Thank you for sharing your story Rachael. Hope things are going well. Thanks for watching, subscribing and sharing with someone if you did.

[@sandraobrien8705]

How did you heal after the removal?

[@aliyasomji9480]

@@coffeecat086how are you now

[@abhiar4791]

I have a metal plate in my left humorous bone should i remove it i am 28 years can u please give me a suggestion🙂

[@Cofitube94]

Like a few other comments here, I had plates and a few screws removed from my ankle one year after the original fracture. As an active 26 year old I couldn’t imagine living the rest of my life with foreign objects in my body. The risks with surgery were negligible in my mind. Only 3 weeks later and my mobility feels so much better. But everybody’s case is different

[@winniehuang9547]

Hi docs! Christmas of 2016 I was snowboarding and had an unexpected fall resulted in shattering my left elbow (distal humerus fx etc), had ORIF with plates and screws. I think it was a pretty severe injury, I suffered lots of joint stiffness and pain. My bones are healed per my ortho team. Nov of 2017 my ortho doc noticed a small bone grow in the joint in the way of flexion, but said it's my choice if I want to have surgery to take out the bone growth (since he's in there already, he'd take out the implants too). I wanted to try my best with conservative measures of recovery and wanted to rule out the pain is not just a healing process but actually from the implants, so I waited. Now (Aug 2018) I'm still having pain, unable to bear much weight, some joint stiffness; though range of motion is improved, it's not 100%, and I'm just modified in my daily functional stuff. Should I go forth with the surgery given this status? My recovery from 1st surgery for trauma was pretty brutal, would this round of surgery be theoretically better & quicker? I'm a 34 year old female, active lifestyle (pretty bummed due to this injury). I have a hard time finding studies about outcome of hardware removal for specifically my type of injury in the US. I would love to hear your opinion!

[@TalkingWithDocs]

Hi Winnie. So a fracture of the distal humerus is a difficult fracture that often results in pain and reduced range of motion after surgery. The risk of hardware removal is that you have ongoing pain, ongoing stiffness or possibly a nerve injury. This is something that is always best discussed with your surgeon. You need to decide if the disability you have now is acceptable or not and if not, what are the chances that this surgery will reduce your disability. It is often a very difficult decision. Hopefully that helps a little.

[@Sarah-zs3ux]

Hi Talking Docs, I had genioplasty about two years ago and my chin has not been the same since because it still feels swollen/stiff. I think I might be allergic to the metal, if that’s the case Is it possible to have the four 2mm screws\plates removed? Please let me know

[@TalkingWithDocs]

Hi Sarah. Yes it is possible. There are risks associated. And sometimes the swelling is from the surgery not the presence of the metal or an allergy which is actually quite rare. Best to talk to your surgeon about your goals. Good luck. Thanks for watching, subscribing and sharing with someone if you did.

[@marygaysayson663]

Good day doc! I had my orif almost 2yrs ago and I still haven't decided to remove the plate due to my fear of the operation. Also, the plate is not bothering me at all. Now I am wandering if it is ok, or should I really need to remove it? Your response would be a great help to me doc. Thank you!

[@TalkingWithDocs]

Hi Marygay. If it doesn’t bother you we say leave it! Thanks for watching and subscribing if you did

[@karanyadav9432]

Hey people, i had an implant for over 7.5 years. The doctors didnt recommend the removal but i wanted them removed because I'm only 24 and didnot want to carry them throughtout my life. I had a plate and 5 screws.Now i regret the decision bcoz 1 screw didnt come out. So dont go for it if u dont have any problem.

[@marilynbowles7982]

I had my second knee surgery last July and had hardware replaced and a plate and 11 screws put in. The screw near the bottom on my knee cap never bothered me as much after my first surgery as it does now. It’s a lot more sensitive, and I can feel the screw head under my skin. My plate also has been causing me lots of issues, and I’m trying to figure out if I should get everything removed or not. My surgeon isn’t very…people oriented it seems, so he never really goes into detail about anything and kind of brushes off the questions I ask about it.

[@TalkingWithDocs]

Hi Marilyn. Maybe a second opinion? Best of luck. Thanks for watching and subscribing

[@shootingstargal10]

Hi! I had bunion correction surgery 5 years ago on my left big toe and had a few screws and a plate installed. I’ve had pain, stiffness, and swelling on a regular basis and I’m considering getting them removed. I was wondering what the recovery from it would be like. Originally I had to stay completely off my feet for 2 weeks and wear a boot for 6 weeks. Will I need to be off my feet for an extended amount of time again? I forget the name of the technique the doctor used but he cut some of my metatarsal bone out to shorten it. Since it’s now shortened, should I be concerned about the bunion coming back? From what I understand, the bone was too long and that’s what cause the bunion. Removing the plate and screws won’t change the length of my metatarsal bone so I’m guessing the chances are low but I would hate to have it removed and then have the bunion come back. I recently moved and haven’t found a doctor here to see for this problem so I appreciate any answers you can give me. Thank you!

[@TalkingWithDocs]

Hishootingstargal10. So taking the hardware out may improve some of the symptoms but no guarantee. The bunion may come back but not because the hardware was taken out. Best of luck to you. Thanks for watching and subscribing if you did

[@Ilovetobemeagain]

Have you had the hardware removed? I have a similar situation with a foot surgery.

[@shootingstargal10]

@@Ilovetobemeagain no, my current insurance doesn’t cover podiatry care which is where I think should probably get it done. I now have ankle tendonitis and pronate inwards a lot on the side that I’ve been having problems with. I also have hip bursitis on that side which I think is all being at least partly cause by the way I’m walking with the hardware still in. At this point, I want it out but I need to figure out how to afford it or wait until I can get better insurance. All I know is I didn’t have any of these issues before I got my bunion corrected and I wish I never had done the surgery in the first place. I would take having a bunion that was slightly uncomfortable over all of this any day. Let me know how it goes if you end up removing yours. I hope you can resolve your issues quickly and with as little pain as possible!

[@bwnco]

LOL.. for rest of you.. To date I have a plate in my neck, my knee, my right arm, a rod full lenght of femur and one into my hip. I have had none removed. For the beating I have taken joints work damn good. So no worries about leaving them in.. side note.. there are good orthos and bad ones.. Shop around and dont be shy! Ask questions. Sometimes its just a doctor you dont get along with personality wise. But it means Tons when you love and trust your doctor. Ask Questions, and shop! if possible.

[@TalkingWithDocs]

Hi bmnco. Thanks for sharing. We totally agree. Leave it in if you can. And try and find a doctor you like and trust - not every pair is meant to be. Thanks for watching.

[@alfredthirdy9716]

wow what a strong words.. whats your age sir?? and how long already the metal plates in your body.? seems you find a great ortho.!

[@knep24]

Watching this because I'm looking at getting some plates removed. Had them in for 7 years, can't wait to get them out.

[@TalkingWithDocs]

Good luck Korey. Thanks for watching and subscribing

[@danielsonscott3038]

Go for it, you will feel relief!

[@knep24]

@@danielsonscott3038 got them out December 1st

[@tizamarieroto914]

is the hardware inside the body can cause skin allergies in the future if not remove?

[@TalkingWithDocs]

Hi Tiza. This is not impossible but quite rare. Good question. Thanks for watching and subscribing if you did.

[@Redlotus1688]

Thank you guys ,I have been thinking about if I should remove the hardware on my wrist .

[@TalkingWithDocs]

Very welcome Red lotus. Good luck with your decision. Thanks for watching, subscribing and sharing if you did.

[@mahendrashrivas29]

hi Doctor, m ankle operated on Dec 2010, m tried to remove by surgery by dr. but they failed to remove it, Please suggest can i leave as it is or i consult different dr, again..

[@TalkingWithDocs]

Hi mahendra. It is common for hardware to be left in forever. If it causes pain, then you would have to consider seeing another surgeon. Sorry for the delayed response. Thanks for watching and subscribing if you did.

[@Wishmaster-u8p]

Sir I had undergone proximal radius surgery, inserted a metal plate, the radius broke at the 1/3rd of the proximal, it has been 2.5 years. My question is it necessary to take it out or not? Doctors said it may be riskier to take it out because the surgery was done cutting the forearm and a nerve is there, it may cause permanent hand movement failure.

[@TalkingWithDocs]

Hi Bongoboy. If it does not bother you, leave it in. Thanks for watching, subscribing and sharing with someone if you did.

[@mygreenology]

I have 2 screws in left ankle on right side. The heads of the screws are not there. My doctor thinks I should leave them because he feels that could be break when removing. However the one definitely hurts. What are your thoughts?

[@rebeccawalker225]

I had surgery to remove plate and screws from a fibula fracture because it was showing signs of possible infection. My surgeon also did arthroscopic surgery at the same time to remove a bone spur, scar tissue and repair ligaments. I was sent home in a splint. No pain after the surgery and very little swelling. Three days later I went in for the post op during which the splint was removed and the wounds were wrapped in gauze and a bandage. I was told to remain non-weightbearing (using a walker B/C the crutches didn't feel safe) and was told to wear the boot 24/7 except when sleeping. Within five hours of being in the boot I had pain, swelling and break-through bleeding. As of this writing I still have four days before stitches are removed. Just wondering why I need the boot if I am essentially non-weightbearing, and especially since it rubs against the tender site of the operation? Seems to be causing many more problems that helping in any way. I hope I will hear back from someone. Thanks...

[@TalkingWithDocs]

Hi Rebecca. The boot is designed to support the bone after hardware removal. Our best advice is to wear a thick sock or add some padding to the tender area and hang on until the sutures are removed. Best of luck. Thanks for watching and subscribing

[@tracifoster1678]

Thank you both for this video. I had back surgeries and was in a lot of pain from the screws

[@TalkingWithDocs]

Very welcome Traci

[@BrigidSamhain]

I had bi-malleolar fracture - plate & screws in left ankle. One year later plate, screws were removed. The only stress was the nurses terrorizing me all night - overnight for observation. I'm more afraid of technicians getting the injured arm or leg wrong or from needing to pee with a fractured knee but no one to help me get to the toilet. The knee ORIF wire has come apart but it doesn't look like they will remove it. It bugs me - wire all over my otherwise smooth knee/patella. That's why I watched this video. Thanks Docs!

[@TalkingWithDocs]

Hi Brigid. Thank you for sharing your story. Good luck with the patellar hardware. Thanks for watching and subscribing

[@gotcha1737]

My wife broke her 1ST METATARSAL .She had an op to put a plate in.After a few months of plaster,crutches etc SHE IS MUCH BETTER!The surgeons say she needs to have the plate removed.But We`re not sure what to do LEAVE it in OR remove it!Surgeons obviously get paid for their fine work but how do we know if its really necessary? help

[@TalkingWithDocs]

Hi al. Fair question. Generally speaking removal of hardware is a procedure that pays very little if that is any consolation. Hardware is routinely removed in areas where the overlying tissue is thin. So the first toe is often one of those places like the clavicle. Otherwise we generally tell people that if it isn’t bothering you, leave it in. Best of luck to your wife. Thanks for watching and subscribing

[@chrisliegandt9111]

Hello I have a fairly large metal implant on my left leg, starting from just under the knee down, it has been in for over 20 years . I have severe Ostia arthritis in that same knee joint and need to have a total knee replacement. My surgeon advises that he would have to take out the hardware. I would like your opinion if this is adviseable especially taking into consideration the length of time it has been in place and also that i am 79 years old. Will I need to be in a cast after and will I be able to walk. I am concerned about the healing time because of low bone density . Look forward to hearing your advice. Thankyou Chris

[@TalkingWithDocs]

Hi Chris. Sometimes it is unavoidable because the hardware is simply in the way. If in a cast they may allow you to weight bear after. The bone density should be ok. If you are low you can consider supplements or medication. Good luck. Thanks for watching, subscribing and sharing with someone if you did.

[@flodask8ing21]

Great video & channel Docs. I am 25 years old & fractured my elbow (olecranon) last October. So 6.5 months ago. I had a plate & screws put in that curves the corner of my elbow and is a “J “ shape. The surgery went quite well but I still seem to have quite some pain on the right side of olecranon (left arm) I feel that maybe getting the plate out could reduce this pain?? I play competitive golf and am trying to get back into weightlifting, but this always gives me some sort of pain when I do both. The hospital was Aurora St. Luke’s in WI. ANY insight would be greatly appreciated! & fantastic channel 👍

[@TalkingWithDocs]

Thanks JAKE. So sometimes removing the plate can improve function. You just want to make sure that your pain is actually caused by the plate itself rather than being a consequence of the trauma and fracture of your elbow. Hope that helps. Best of luck. Thanks for watching, subscribing and sharing if you did.

[@Mechaxthemaskedgamer]

Yeah I had a car accident like a year ago And I had to have some hardware put in And my spine was healed after a few months And I decided to have it removed the moment I found out it was fully healed Mainly because arthritis runs very high in my family Especially in the joints and spinal cord area And I did not want to risk it So I had my hardware removed and i several exercises to rebuild my strength And then I was fully recovered But do take it easy guys and when you're rebuilding your strength do not overdue it You do not want to reinjure the same area

[@TalkingWithDocs]

Thanks for sharing Anthony

[@elainerinne3468]

I’m a 56 year old female. I’m fused C2-C7 In 2018 I was fused T4 all the way down. I have had severe scoliosis since age 11. About 3 weeks ago I heard a loud pop with severe pain. A left rod fractured at L4 to L5. I’m completely fused. My surgeon wants to leave the fractured rod in. The only thing is the debilitating pain. This was done at USC. Should I get a second opinion? Thank you.

[@TalkingWithDocs]

Hi Elaine. Sorry to hear you are struggling. Yes a second opinion is not unreasonable. The issue is likely that the pain may not be related to the broken rod. Many patients are walking around with broken hardware and no issues. It is likely a little more complicated in your case. Best of luck. Thanks for watching, subscribing and sharing with someone if you did.

[@maryschmidt8133]

Thank you for your video as it was very helpful before in making my decision to either taking out or leaving in my hardware after 2 years. I do have one question??? Should I get a 2nd option from another Ortho Doc. after discussing this matter with the Surgeon/Ortho Doc who performed my surgery?🤔

[@TalkingWithDocs]

That’s up to you. If you aren’t sure about the first answer then yes

[@imexad6242]

I got a question, how long can the metal implants (in my case in the knee and femur) last? Can they stay in forever or no? And let’s say they can stay in for around 20/30, then what happens after that age of the implant is reached?? Thanks

[@imexad6242]

Also if in the future it causes arthritis or any other knee problems while it’s kept in will it be easy to treat or will the implant be a barrier?

[@TalkingWithDocs]

They can stay in forever. Thanks for watching and subscribing

[@phartsky]

When my right femur was repaired back in 1965, the rod that was inserted (an SMO 404 12x58) seemed to move up beyond the top of the femur, after about a year, and caused me great pain when I flexed my hip.. so I had the rod replaced with a shorter version (an OEC 11.3x42). After a few more years I was nervous about having the "rebar" in my thigh (thinking that a big hit to my femur would fracture my knee or my hip, which would be a bigger problem) I elected to remove the second rod. Now I have a pair of stainless steel windchimes!! Your thoughts?? Thx as always!!

[@TalkingWithDocs]

Hi Pete. Removal is always a personal choice. Sounds like it worked out. Thanks for watching and subscribing

[@hamzakhattak1097]

Hey dr. I had broke my right hand both bones where i had it operated and put plates and screws on it. Its been around 10 years. But there is always problems with my hand movements for example when I write or when I type on PC for a long time. Also when i lift in the gym my hand is a handicap as it hurts and i cant put pressure on it. Should I take out the material? Please help

[@annhauschildt6179]

My daughter had tibia spiral fracture and ankle break in Feb. The rod has screws at the top and bottom. She is miserable and has been in PT twice a week since May. She is having CT scan next week with plans to remove the rod. Ankle is healing, knee is swollen with pain and needs to be iced and elevated each night. Our surgeon said it can be removed since it has been 9 months. Is this correct and will having screws at each end complicate the removal surgery? I assume the CT scan will tell if it has healed adequately?

[@TalkingWithDocs]

Hi Ann. Yes the CT will help. Removing the screws is usually straightforward. The rod is the harder part. So sorry for your daughter. Hope everything goes well. Thanks for watching and subscribing if you did

[@harveythomson2293]

Very good and interesting to hear guys! As i am nearly one year in to having spinal metal fixation, I am not sure whether to have it taken out or not. My consultant said that 10% of his patients get it taken out due to problems / issues. And although i still feel pain in my back he did say give it up to 18 months and for any nerve pain to heal. After that length of time its pretty much permanent, or so i am told...

[@harveythomson2293]

Meant to say, im 32 years old. Do you think there'd be a risk of spinal instability getting the plates out? Or should the bones have healed well enough after a year? Thanks, Harvey

[@zandmglobal9398]

This was so helpful!! It answered few of my questions... i had abiopsy done in July 12th 2011... my humerous has 7 screws... i have been doing quite hard work and i think this may have affected me somehow.. i have sooo much pain and its my right hand, i am afraid to remove it because doctor advised me one wrong move may result to my hand getting amputed (I pray it ill not happen).. so now i am in soo much pain, can you kindly advise me what supplement i can use to ease the pain, sometimes during winter the arm gets numbed... i will really appreciated any advise...

[@TalkingWithDocs]

Hi zandm. Sorry to hear that. Hard to recommend a supplement for this issue. If you are having numbness, it may be related to the nerves around your humerus. May be worth getting a second opinion but yes all surgery carries risk. Good luck. Thanks for watching, subscribing and sharing with someone if you did.

[@lackadaisicalwray6090]

Thank you! I had patella repair..2 screws and the wire.. I'm living fine with it in... Don't want to get my knee opened up again.

[@TalkingWithDocs]

We agree if you don't need to Lackadaisical Wray! Thanks for watching, subscribing and sharing with someone if you did.

[@doreenviscardo9126]

First of all, I love your videos and I'm amazed you take the time to answer all the questions. I broke my wrist almost 2 yrs ago and had the hardware removed and a neuroma fixed 7 months later. I was still in pain but managed to be basically pain free about 5 months later with OT for 4 months. Then the only thing I can think of is one day I kept flexing my wrist back and forth all day (felt tight, like I was stretching the scar) and set off ongoing pain (except while asleep). I have gone for EPAT, Graston technique, acupuncture, cold laser, and more physical therapy . Went to a highly regarded ortho at HSS in NYC..more x-rays and I brought MRI and ultrasound reports. Really no definitive answer or problem seen. Is there a way to know if there is a nerve stuck in scar tissue? I am in such pain...still wondering if constantly flexing back and forth is aggravating the issue. Dr. is putting me on gabapentin and MORE OT. He said he would really try to avoid more surgery. I am having a hard time with this pain. How much does your mind and anxiety play into this problem? Sorry I hit you with so much but I respect your opinion. I am the type of person who likes to know exactly what is causing the problem. I have no tingling,zapping, numbness but some sensitivity by scar. Thank you in advance!

[@TalkingWithDocs]

Hi Doreen. So it could be the nerve. Usually you would have other symptoms. Gabapentin may help this. Sometimes a nerve conduction study can help. Wishing you the best of luck. Thanks for watching and subscribing

[@RolandJr.Labajo-v9r]

I had my metal implants fixation both radius and ulna in my right hand and i had them for 11 years now. my concern is im getting random pain in the site of the implants that comes and go. i can bare the pain and still i can get use to manage the pain it just random pain sometimes its bothering and sometimes its bearable. how to know if i have infection in my metal implants? what symptoms should i look for it? when to visit a doctor? well i get metal poisoning from these? by the way i am from Philippines.

[@TalkingWithDocs]

Infection would be rare and if it was infected the pain would just keep getting worse rather than come and go. Good luck

[@henrylee5751]

Hi doc, Is leaving the titanium plates in the body harmful in anyway longterm? or is it completely safe

[@TalkingWithDocs]

Nope totally safe

[@manosxa]

Dr, I have had this operation done years ago, However I was expecting at the tibia side just two tiny incisions just where the screw heads where. I understand that the large cut is mandatory when you insert the screws and put the bone together. Finally the screws will be located at the lower arc of that semisphere that tibia forms. So I am still confused why I have a larger scar now than the orif surgery? I believe 2 things might be possible the location of screws was difficult to be found or the bone covered the heads and the needed larger area to expose.

[@TalkingWithDocs]

Hi manos. Without seeing your xray it is hard to say but you are correct, often there is overgrowth and it is much harder to get it out than put it in. Thanks for watching, subscribing and sharing with someone if you did.

[@vedicastrol]

There are allergy tests. Why don’t they use them ? I believe I developed “metallosis” after getting surgery for broken upper left leg. following that surgery. 8/13/2023, I became anemic and developed several PE. Underwent surgery for blood thinner.

[@kalumprasannaHW]

Dear doctor,23 years ago I had a plate inserted in forearm which was not removed. The plate and nails all covered in calcium as it's seen in x-ray. Recently I developed frozen shoulder in the same arm. Can there be any relationship between the frozen shoulder and unremoved forearm plate.

[@TalkingWithDocs]

Nope. Not related. Thanks for watching and subscribing

[@piyumk]

Hi Doctors, I had bankart repair surgery on my right shoulder 4 years ago. The surgeons had to insert 3 metal screws to fix the issue. Would it be possible to remove them from the cartilage?

[@TalkingWithDocs]

It would be difficult and unnecessary. Thanks for watching and subscribing

[@carlosgaldamez9956]

I had a surgery to remove a humerus plate (with 6 screws) 1 month ago, and definitely it was the best decision I could made, i couldn´t workout or lift heavy things because I felt pain, without a doubt I recommend this kind of surgery, it´s impossible to have a normal life with hardware in your body (in my experience of course)

[@TalkingWithDocs]

Hi Carlos. Glad it worked out for you. Thanks for watching and subscribing if you did.

[@carlosgaldamez9956]

@@TalkingWithDocs I did! Excellent videos and information, congratulations! Greetings from Argentina👍

[@carlosgaldamez9956]

@Ek Pari Pagal Si Hi! Yess, all the pain and discomfort has gone, now I can do push ups and other stuffs (with the plate I couldn’t do it)

[@carlosgaldamez9956]

@Ek Pari Pagal Si definitely my operated arm is less strong than the other one, but I am working on it with exercises, I no longer have nerve pain as before

[@ginastiling1641]

What are the percentage risks for radial nerve damage when removing orif hardware from the shoulder please

[@TalkingWithDocs]

Hi Gina. It is difficult to put an actual number on the risk however this is something that you should definitely discuss with your surgeon preoperatively. Good luck and thanks for watching.

[@vishnuravindran1153]

Doc, I have a rod inside my leg.So the thing is that. Does it makes any problems or any pain in future living?

[@TalkingWithDocs]

Hi Vishnu. Most patients will retain their hardware indefinitely and it usually will not cause any problems or pain. If you are having issues, see your surgeon and get a new xray. Thanks for watching and subscribing if you did.

[@shellyauger452]

Getting my plate and pins taken out tomorrow. 3 and a half years I been waiting. I a bit nervous about it but they need out. Thanks for your words. 😁😻

[@TalkingWithDocs]

You can do it!

[@shellyauger452]

I in recovery now at home. Crps is kicking in though. And is so sore. Thanks for getting back to me. Xx much love too you both.

[@dinkledank259]

How are you getting on since the removal, and where was the metal work in your body? Hope it went well@@shellyauger452