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Benefits of hardware removal after plating.
Journal article

Benefits of hardware removal after plating.

  • Acklin YP Universitätsspital Basel, Department of Orthopaedics and Traumatology, Basel, Switzerland. Electronic address: yvespascal.acklin@gmail.com.
  • Bircher A University Hospital Basel, Department of Infectiology and Allergology, Basel, Switzerland.
  • Morgenstern M Universitätsspital Basel, Department of Orthopaedics and Traumatology, Basel, Switzerland.
  • Richards RG AO Research Institute Davos, Davos, Switzerland.
  • Sommer C Kantonsspital Graubünden, Department of Traumatology, Chur, Switzerland.
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  • 2018-06-23
Published in:
  • Injury. - 2018
Fracture
Implant removal
Oosteosynthesis
Plate removal
Bone Plates
Clinical Decision-Making
Device Removal
Fracture Fixation, Internal
Fractures, Bone
Humans
Postoperative Complications
Prostheses and Implants
Risk Assessment
English Routine implant removal is frequently performed although evidence-based guidelines are lacking. But routinely planned implant removal has significant economic implications and shows considerable complication rates. In general, clinical outcome seems to improve but pain relief after operation is often unpredictable. Even in patients reporting implant-related pain, implant removal does not guarantee relief and may be associated with further complications. The intra- and postoperative complication rate remains very high. Implant removal demonstrates a significant learning curve and unsupervised junior surgeons tend to cause more complications. The need for implant removal may be questioned. Even with the implant in place, contact activities can be resumed. However, a new adequate trauma can create a new fracture independently if there is an implant in-situ or not. It is important to understand the complications and outcomes to be expected with hardware removal to carefully evaluate its indication.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://folia.unifr.ch/global/documents/84159
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