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Having metalwork removed from ankle

  • Having metalwork removed from ankle. Progression of arthritis – By fusing the ankle joint, this places increased stress on joints in your foot and they can Oct 10, 2022 · A number of reviews have compared primary arthrodesis vs open reduction and internal fixation—all limited by wide study heterogeneity with as yet no evidence of clinically relevant difference between the two. Surgeon put in 7 screws plate and pin. Many people do not consider ankle sprains a serious injury. 24 hours a day, 7 days a week. In all patients, the indication listed for removal was a combination of either pain (anterior knee or leg pain) or prominence surrounding their implant (locking bolt prominence). 4% of ankle fusion surgeries required revision surgery compared to 7. Metal screws and plates are often used in surgery to fix fractures, fuse joints, or stabilize bones that have been cut (osteotomies) in the foot and ankle. I went to see my Doctor and he removed a whole stitch. By using specialised instruments we can remove the joint surface to allow the two bones to heal together. The ink in tattoos may contain metallic properties, and you should tell your technologist if you have tattoos. I still have some stiffness in my ankle, but it is not tight anymore and keeping the parts moving correctly helps that a lot. A surgeon removes the lower part of the shinbone (tibia) and top of the highest bone on the foot (talus). Learn about complications from metal surgical hardware and a new non-metal invention that is being used at UFAI today. 9% of ankle replacements. If you have suffered a lower-extremity fracture, you may need to undergo open reduction internal fixation (ORIF) to repair the break. The pooled fusion rate after ankle arthrodesis using cannulated screws stood at 96%. Jun 1, 2021 · The most commonly cited reasons for elective removal of metalwork were to optimise physiological function, to reduce the risk of broken metalwork and to lessen the risk of making subsequent surgery more difficult. This is unfortunate because they do not allow the ankle sprain to heal properly before returning to the sport or activity which caused the ankle sprain. The ankle is replaced with plastic or metal pieces. 5%) patients experienced improved ankle stiffness and 65 (81. I also know of someone who was doing well, except for pain, and could not be without pain meds. Approximately 3 months after surgery you may be more mobile, and many individuals Dec 15, 2022 · Now Available! Make my appointment now. Greater joint stability. Feb 28, 2019 · 1. Bryan Bomberg, MD. At about two weeks, you will be seen in the post operative clinic Due to this it is important that you do not complete any impact activities for 6 weeks after your surgery. I decided to remove all of the hardware as it was bugging me. I found it was easy to walk on wen plaster was removed but very little ankle movement. This involves inserting a telescope into the ankle. Approximately 3 months after surgery you may be more mobile, and many individuals Most ankle fracture surgery involves open reduction and internal fixation (ORIF). It seems as I’d you are doing everything you news to be doing. Screws, metal plates, and small metal wires Oct 18, 2013 · Patients who continue to suffer inconvenience and discomfort after a healed bone fracture may be better off having any plates, pins and screws removed. A plate and seven screws were removed. Pros. Ankle fracture surgery: If you have fractured bones in your ankle (a broken ankle), surgery can stabilize the breaks and help the bone heal. Generally, ORIF is an urgent Idk if you’ve had the surgery yet, but I had hardware removal on my left ankle in December 2022. It was reported to be the third most common fracture following wrist and hip fractures in the elderly population [3,4] and the fourth most common fracture in the adult population according to the Swedish fracture registry in 2013 []. Trust me it is quicker in the long run - I had to have it replated and a bone graft, 12 weeks in plaster and then rehab. May 14, 2016 · I'm post 9 months surgery. Customer: how long would the surgery b4 and what are the risks. The doctor will tell you: how long you'll have to wear the boot or have the plaster cast on; how much weight to put on your ankle – you may be given crutches or a walking frame to help keep weight off it; Once it's healed, use your ankle Aug 1, 2023 · Stiffness of the ankle. • Foot is wrapped in bulky bandage and cam boot, ice, elevate, take pain medication. Long story short. Infection. com • 104 - 3551 Blanshard St. My recovery had some complications, but from what I’ve heard, most people are back to normal very quickly! I had an allergic reaction to the surgical glue which delayed healing, but my surgeon originally told me I’d be walking again in a week Aug 24, 2017 · Yes, I had all of it removed nine screws and a plate. Oct 23, 2014 · hi I broke both tib and fib nearly 3mts ago dislocated and shatterd bottom of both bones. But while reactions to surgical hardware and implants are rare, they do sometimes occur. My last check-up with my doctor went ok and he said that the bone has healed nicely. Immediate pain relief. Plate removal surgery is done through the same incision as the original surgery. Initially, problems with painful hardware may be treated with shoe modifications, padding over the area, and simple measures to reduce the local swelling and inflammation. Removal data are presented in Table 2. Even larger pieces of metalwork can be hard to find Summary. Like a jigsaw puzzle, the pieces of the broken bones are placed back together (open reduction). Methods Jul 12, 2023 · Warning signs of complications after ankle surgery. In modern plates and nails, the screws sometimes have threaded heads that lock into the plate. We performed a scoping review to identify evidence on Oct 10, 2022 · The two most commonly chosen reasons for removal of metalwork were ‘to optimise physiological function’ and ‘to reduce the risk of broken metalwork and risk of making subsequent surgery more Dec 29, 2017 · 6 years ago. Metallic orthopedic implants are generally not affected by MRI, but if you have metal in your body Dec 28, 2015 · removal of hardware - still painful. 19 months (range 5. Reactions. On 24 July the stitches were removed. Tiny flakes of this metal chip off and enter the bloodstream, nearby soft tissues, and/or joint. Removing metalwork may have possible complications of refracture, but your OS (knowing where the metalwork Oct 10, 2022 · A number of reviews have compared primary arthrodesis vs open reduction and internal fixation—all limited by wide study heterogeneity with as yet no evidence of clinically relevant difference between the two. rebalancemd. I would love to have the metal work removed but I was told at the time that it could not be done because putting the bones back together was like doing a jigsaw puzzle. 58 (72. For those who elect to remove metalwork, the preferred timing for this ranged from 3 months to ‘after 6 months’. A total ankle replacement prosthesis is made up of three different parts: A titanium metal component is attached to the tibia, a cobalt-chrome piece is connected to the talus, and a If you are suffering from any foot and ankle problems, call your expert Colorado Springs foot and ankle surgeons and podiatrists today at 719-488-4664. It does sound as though your surgery does need to be done. It will take many months for the bone to regain normal strength and for that reason high impact Jul 13, 2022 · Complications of Hardware Removal . Posted 8 years ago, 8 users are following. Medically reviewed by Laura Campedelli, DPT. Complications may prolong healing. lowing Lisfranc injury fixation: planned metalwork removal vs long-term retention of metalwork. Some people experience nerve damage or develop: burning or shooting pain. Having a metal allergy or sensitivity doesn't mean getting a metal implant like a surgical screw, plate, or joint replacement is entirely off limits or that the body will reject it. 1). The average time until removal was 25. I had three screws horizontally holding Apr 24, 2023 · What is ankle hardware pain symptoms? Ankle hardware pain symptoms is the discomfort and pain felt around the site where metal plates or screws were used to repair broken bones in the ankle. After bone healing, there are two options: one is to remove the hardware, the other is to leave it in place. He will cut in on existing scars but not the entire length. peg leg . Elevation - Keep your foot elevated above your heart as much as possible for the first 3 to 4 days. Ten percent suffered a Apr 27, 2011 · it has to be removed by Surgical method. skindoctor2000 : yes , so surgery would be the only method where they will first give you anesthesia and then remove it without any discomfort. Your bone may fracture again while the hardware is being removed. There is still movement below the ankle joint in the hindfoot. I agree, 15 years post op. An incision is made over the ankle to see the fractured bones. Use Ice as much as possible. Sep 5, 2023 · Removing Metal Implants . Ankle (21 %) and wrist (15 %) were the most frequent anatomical sites of surgical implant removal (Fig. 4 (range 0 to 6) and decreased to 1. This is because the weakened bone collapses into the drilled hole spaces used for the implant. •Ankle fusion– the tibia is fused to the talus with screws. common sites of hardware removal. You may get a blood clot in your leg or arm. The risk of surgery is slightly higher in some ways because of the scar tissue present Feb 9, 2012 · I had metalwork taken out in two operations, general anesthetic both times. Deformity of the joint. The specific Post-Operative Course will vary slightly according to fracture pattern and the bone quality, but the following general rule apply: Day 1. We are taking all the proper precautions to ensure you can have a safe visit at the Foot and Ankle Institute of Colorado if you need to see us for any reason. Customer: its been in 4 2yrs and im booked in 4 surgery on da 22 june. After the bone heals, this hardware isn’t removed. Your surgeon will usually remove the metalwork through the same cut used to put it in. He said it is walk in/walk out and will have little Jul 18, 2023 · Keywords: Clinical outcome; Fragility fracture; Infection; Mortality; Open fracture; Survival. An open ankle fracture in a patient older than 70 years has at least a 20% chance of requiring repeated surgical intervention due to deep SSIs. Ankle fractures are one of the most common types of fracture, and internal fixation is often the surgical treatment of choice due to its generally positive outcomes. 9 Jacobsen et al. my surgeon told me from the outset that the hardware would be removed 12 weeks after my initial surgery. I too am in pain with my ankle and foot, especially inner ankle bone where I have two screws. Jan 11, 2014 · The more metalwork the greater the affect it will have over a joint. Most people with foot and ankle problems will receive other treatments from their GP, rheumatologist or podiatrist before they see a surgeon for an operation. The bones do self heal and on my ankle where screws have been taken out, there is a slight bulbous growth much like a rivet head left behind under the skin. Even if the hardware remains in the correct position, it can irritate nearby soft tissues and Alternatives to foot and ankle surgery may include exercise, footcare, drug treatment and specially modified shoes. Print. This will help reduce the swelling in the foot and promote healing of the wound. Table 2. At least two of the big screws pinning my ankle will be taken out, the plate and shorter screws will remain. Prominent metalwork – If the metalwork in your ankle becomes a problem, you can have another operation to remove it. Posted 4 years ago, 5 users are following. A couple of the screws had loosened and were protruding, so another surgeon took them out. prevent blood clots and decrease swelling in your ankle. The whole of the ankle is now slightly larger than the other and I've had to buy new boots. Victoria BC V8Z 0B9 • tel 250 940 4444 • fax 250 385 9600 Page 2 April 2015 v1/S. This may become life-threatening. You may have general anesthesia. Various anaesthetic techniques are possible. Last summer, 2018, almost exactly a year ago, I had the triple fusion operation on my left foot. Oct 2, 2020 · Background Osteosynthesis is the internal fixation of fractures or osteotomy by mechanical devices (also called hardware). I am finding that lately to stand or walk on it for anything over 3/4 Recovering from a broken ankle. . Wound & Hardware Infection is the most common complication following orthopedic trauma surgery and is a significant source of patient morbidity. I am just sending out a warning that applies to anyone who has had metal inserted to their bones. Susan on April 01, 2018: I had broke my ankle in 3 places. Or call 877-989-9110. All was healing nicely until I noticed a couple of dark patches along the scar. In an adult they probably never quite fully fill in. Implants were removed between 6 weeks and 27 months after surgery. Not sure if this will help me or you but after having physio for over 6 months my physio has moved me on to another physio who practices chronic physio. foot Infected metalwork in ankle triple fusion. Potential Treatments. Download PDF Poster. The numbness may be from nerve damage. May 6, 2024 · Nerves, ligaments, and muscles may be damaged. Pain score before hardware removal was 3. If the infection is jeopardizing the Apr 30, 2021 · Unpredictable results when removed solely for pain relief and even less so for function. Body piercings, jewelry, and any other metal objects on your body will have to be removed before your MRI exam. May 20, 2013 · NorbertDentressangle · 20/05/2013 20:32. I had had the right one done the year before and it had been a Jun 13, 2017 · In ankle replacement surgery, the ends of the damaged bones are removed and replaced with a joint made of plastic and metal. I too shattered my ankle with a dislocation. After nine months the ankle fusion will be solid so the screws and / or plate can be removed if required. I have a metal plate and screws in my ankle after breaking it a few years ago. Both titanium and stainless steel have been found in all these anatomical areas of the human body (titanium slightly more often and in greater amounts than stainless steel). In a few patients, the plate and screws can cause some pain directly over the hardware. This can range from mild discomfort to severe and debilitating pain. In these patients, the hardware can be removed after the fracture is completely healed, which we recommend approximately 12 months from the initial surgery. I had them removed 9 months later bc of fever. This involves non-removable, internal hardware like metal pins, plates, rods, or screws to help support and stabilize the bone. Be Safe- stay in the care of responsible adult the first 24 hours. Aug 15, 2023 · Complete recovery from ankle surgery may take a year, but you won’t typically be immobilized this whole time. 1, 2 However, patients with a metal implant in the foot and ankle region would likely be symptomatic due to the limited amount of soft tissue cushioning, interference with the shoe wear, and demands of weight Jun 9, 2018 · Everyone’s on board with hardware removal due to a post surgical infection. Swelling around the joint. The surgeons eventually discovered one of the screws was too long and that was causing The general risks of metalwork removal include: Anaesthetic. 36,42,47 The potential but unproven purported benefits of metalwork removal include optimization of midfoot biomechanics and function The operation usually takes 30 minutes to an hour. Hardware that is inserted during a surgical procedure is very small and often inserted using precision guidance techniques, but even the most skilled surgeon can’t predict how a foot will respond to the foreign object. 62 mo). Scientific research headed by Dagmar Vos (pictured), who took her doctoral degree at University Medical Center (UMC) Utrecht, demonstrates that most complaints and symptoms, such as pain and restricted motion, improve […] Hardware Removal. The bones are held rigidly by two screws inserted from the inner aspect of the leg just Apr 3, 2012 · I had metal work removed from my arm and was told to carry on 'as normal'. These may include: exercise. Fractures have been known to occur soon after surgical removal. You frustration is justified and I think removing the metal work will give you more range adds less pain. The plate never bothered me while playing hockey, but running aggravated my ankle like no other. When you get home: Rest for the remainder of the day. He has been featured in major media publications and shows over 2,500 times throughout his career. There are a number of reasons why your foot and ankle orthopaedic surgeon may chose to remove this hardware. footcare. Oct 13, 2022 · Updated on October 13, 2022. I could feel it when I touched and my ankle was throbbing when weather is about to change. Mar 14, 2024 · 3. The broken bones are then held together (internal fixation) in this correct position with metal plates Oct 11, 2010 · The surgery. foot Oct 25, 2012 · Hi, I broke my fibula and tore a ligament on the inside of my right ankle about 16 mos ago and had ORIF surgery. Feb 27, 2015 · If metalwork is removed there is a concern that the bone will then be very weak. Incidence. I had a plate and 7 screws inserted into the bone. As an ankle surgeon will tell you, one of the leading causes of pain in the ankle is an improperly healed injury from years ago. Hardware can be removed if it is painful or associated with an Jul 18, 2023 · Keywords: Clinical outcome; Fragility fracture; Infection; Mortality; Open fracture; Survival. This artificial joint helps the ankle retain more movement, so there is less risk of arthritis developing in nearby joints. large geographical variation. Fast forward three years, and I started running significantly more. Mathes Throw out the white gauze bandages—the dressings will be stained with blood - and remove the white mepore dressings. Place over the top of the foot. Here are some criteria I use for taking out hardware: the fracture must be healed. The study aims to analyse the complications, re-operation rate and cost difference between one-third tubular and locking plates which are the most frequently used Mar 20, 2023 · Metals Used. Due to the severity of the damage to both bones, none of that jazz can ever come out. I broke my ankle nearly 2 years ago, no surgery needed -I was put in plaster, they removed it 4 weeks later and waved me off (no follow up x-ray/physio), I slowly rebuilt strength and all seems ok other than 2 things: -every now and again I get really severe cramp right in the ankle joint (not somewhere Ankle swelling will generally persist for about 9-12 months. However, if this is not satisfactory, patients may benefit from hardware alterations or removal once the fracture, fusion, or bone cut has fully healed. Ankle replacement (total ankle arthroplasty) is major surgery to reduce ankle pain. Based on the theory that removal of metalwork improves midfoot biomechan-ics, the primary hypothesis was that patient-reported out-comes are significantly better following routine removal of metalwork compared with planned retention. •Total Ankle Replacement– the bottom part of the tibia (shin bone) and the top of the talus (one of the ankle bones) are replaced with metal components. Keep your leg elevated with a pillow under your calf or foot, NOT under the knee. I had Lateral Tibial Plateau Fracture hardware removal surgery at the end of November 2018. I have a plate, 6 pins and 2 screws on my left ankle. ROH. Infection – Although the surgical hardware itself cannot get infected because it isn’t living tissue, sometimes bacteria can accumulate on or around the hardware and lead to a bone or soft tissue infection. Removing metalwork is usually safe and effective, however, complications Oct 13, 2016 · The hardware-related pain, ankle joint stiffness, discomfort on ambulation, and patient satisfaction were evaluated before and at least 6 months after hardware removal. The removal of the hardware in patients without medical indication (elective) is controversially discussed. Other symptoms include stiffness, limited range of motion, swelling, redness, and May 1, 2019 · Because the soft tissue around the ankle is thin and the ankle is a highly mobile weight-bearing joint, implant-related pain after surgery for ankle fracture is common. Mar 15, 2023 · Despite the initial higher complications and removal rates of locking plates in 2015 (P<0. Images. 042 and P<0. Feb 11, 2020 · Or it can be complex as Achilles repair/reconstruction and tendon transfer, where a diseased tendon is removed and/or replaced with another tendon from the foot. 2 Plates and 17 screws on both sides of right ankle. If you had surgery, you might have your ankle in a splint or cast for several months before progressing to a different type of support, like a walking boot. Jul 12, 2023 · Warning signs of complications after ankle surgery. This is especially true of deep implants that have been in place for a long time. If you have detachable metal braces or a retainer, you should take them out before you get an MRI. Nov 10, 2011 · I have my apt in May 3th to remove my screws after 4 months surgery with a broken ankle. Postoperative Instructions: Ankle Hardware Removal. These include any form of running, jumping and trampolining. Bone spurs causing a lumpy-looking joint. I had a plate and seven screws put into my ankle in 2010. Another potential problem with titanium plates is the debris that occurs. 29–77. Jun 14, 2016 · Having the hardware removed is apparently not as bad as putting it in and you can go on as normal, only have to look after the surgical incisions until it heals. You may still have pain, even after the hardware is removed. • Expect numbness in foot 12-24 hours. Pain Medication- You have been given a prescription for pain control; please take as directed. Instability, or a feeling the joint may "give out". Jul 31, 2018 · I had a # dislocation in 2009 and my ankle was pinned and plated. If ankle fusion is recommended, it is important to weigh the pros and cons to decide if it's the best option for you as an individual. Sometimes peripheral nerves can heal, but that takes a long time, and can be more than a year. Jan 6, 2023 · When implanted metal is causing interference with normal joint mobility and function, or if metal implants are causing pain or irritation to soft-tissues, their removal can be beneficial. Metalwork is used extensively in orthopaedic surgery to fix bones together; leaving metalwork inside generally does you no harm. I know some folks who have had plates or screws removed later in life, but this is what I’m working with for the long haul. Sometimes a combination of implants was used. ankle, foot, or toe weakness. Elevate the leg as much as possible, above heart level. All of it was removed on 9 July this year. Jan 16, 2019 · “Internal fixation” means the bones are held together with hardware like metal pins, plates, rods, or screws. Long story short: I have 2 plates, 17 screws & a stabilizing rod in my left ankle/calf. Dr. Ankle replacement tends to have more risks associated with it, however, than ankle fusion. Certainly the bone will be less strong immediately after removal of metalwork but the holes will gradually fill in. My surgeon said that to removed only the plate it would take ten minutes, but I wanted it all Oct 30, 2020 · In one study, among over 300 patients surveyed after removal of hardware (most commonly in the wrist or ankle), 96% noted decreased pain and 72% had increased function. Looking forward to improved range of motion and less pain once it’s gone. Feb 28, 2017 · Most metal tooth fillings or other permanent dental implants won’t cause a problem. Epidemiology. You may have trouble going back to your usual activities. Small screws or wires can sometimes be hard to find and your surgeon may need to use a larger cut and x-rays. Introduction. It's been a week ago Thursday, and I am still in alot of pain, no special instruction from Jun 6, 2022 · It takes longer for the ligaments and tendons to heal. Open reduction with internal fixation is the main line of management of displaced ankle fractures in fit patients. If you have any questions or need any advice about your exercises then please contact the Physiotherapy Department between 8am - 4pm Monday to Friday on 0121 728 9442. The laser targets the hair follicle and doesn't go deep enough to interfere with the metal in your legs. 11/16. Nov 26, 2015 · Edited 2 years ago. I can move on with that pain. The surgery itself took about half an hour. Oct 2, 2020 · The implants involved plates, screws, nails and staples. A broken ankle usually takes 6 to 8 weeks to heal, but it can take longer. 36,42,47 The potential but unproven purported benefits of metalwork removal include optimization of midfoot biomechanics and function Here’s a look at some reasons why your hardware may be removed with a secondary procedure. Ankle hardware is not routinely removed if it isn’t causing problems. Ankle screws were typically removed before weight bearing (6–12 weeks) whereas plates and nails were removed after longer periods of bone healing. I hope that a good decision. Feb 1, 2022 · Even so, only 5. Many foot and ankle procedures require insertion of metal plates, screws, rods, or similar implants for stabilization of the bones while they heal. Made the decision to get the plate out, but the surgery wasn't as clean as I hoped. In some cases, the hardware is routinely removed to prevent possible problems, and in other cases, the metal is only removed if it begins to cause a problem. Once your bones have healed your surgeon may recommend its removal to help reduce or prevent problems it may cause. The infection rate for elective metal work removal is less than 1:100. summary. operation I have 2 plates 10 screws on each plate and a big screw going up threw the bottom . The following are post surgery instructions for patients having a piece of hardware removed from their bodies. Having a lot of metal in your mouth can distort images if you need an MRI of your head or neck, making the scan less useful for diagnosis and treatment. In the case of metalwork removal from the foot and ankle, you are advised to keep the elevated on 2-3 pillows as much as possible, and limit the amount you walk to as little as practically possible. Painful Surgical Hardware. Aug 7, 2015 · The majority of the removal operations (74 %) was performed as an inpatient procedure and in 61 % during the first year after the initial operation (Table 1). My pediatrist says according to the xrays it may be early arthritis. In most instances, these screws and plates do not create symptoms and remain permanently in the foot. The presence of a cardiac history appears to be the main predictor for wound complications. 3 years ago I broke my ankle tibia & fibula. He helps athletes and active people feel and perform their best, regardless of age, injuries and medical history. Elevating your ankle at least 4-5 times daily and applying ice regularly can help speed healing and reduce pain and inflammation. Sometimes part of only one bone is replaced. I also get those sharp intense pains where my ankle feels as if it's going to SNAP! Its weird but I feel my pain more during the Winter time. conducted a retrospective study of 66 cases of metal removal after malleolar fractures and reported that 75% of symptomatic patients improved after implant Aug 15, 2023 · Complete recovery from ankle surgery may take a year, but you won’t typically be immobilized this whole time. The procedure may be performed on an outpatient basis (discharged 4-6 hours after surgery) or you may be required to stay overnight in the hospital (discharged within 24 hours after surgery), depending on your Customer: I fractured and dislocated my right ankle last August which resulted in having metalwork. Orthopaedic hardware symptoms can be common and some hardware may require removal. In this review, removal of metalwork after ankle arthrodesis using cannulated screws was needed in 3% of cases and was indicated only in case of symptoms related to irritation from metalwork. 5-16% overall. Getting laser hair removal will not be an issue. However, in some patients, hardware can become prominent or irritate a nearby Jul 25, 2022 · Ankle replacement is a surgical treatment for ankle arthritis in which portions bone and cartilage in joint removed and replaced with prosthetic implants. Less commonly, ankle arthritis can lead to irritation of the nerves around the joint, causing tingling and numbness in the feet and toes. Ankle fractures are common orthopaedic presentations in emergency departments with an approximate incidence of 180 per 100,000 persons per year [1,2]. The operation usually takes 30 minutes to an hour. Removal of Implanted Metal – Hardware removal: A Guide to Recovery After Surgery www. The actual process of removing an implant is itself complex. David Geier is an orthopedic surgeon and sports medicine specialist in Charleston, South Carolina and Charlotte, North Carolina. Inability to remove the metal. at least three and preferably six months have passed since the original surgery. olecranon tension band wiring: 30-61%. While infection is rare when removing hardware (and infection may be a reason to remove metal), it is certainly possible, and whenever a surgery is not absolutely necessary, you should consider if it is worth the risks. Some of it may not reach the ankle, but it is still Sep 27, 2011 · Answer: Laser Hair Removal and metal in legs. Infection: The most obvious reason to avoid an unnecessary surgical procedure is the possibility of infection. Even larger pieces of metalwork can be hard to find and remove if they are covered with scar Ankle Surgery. Diagnosis can be made clinically with the presence of incisional erythema, dehiscence, purulent drainage and/or persistent fracture nonunion or hardware loosening on radiographs Mar 15, 2023 · Ankle fractures are common injuries in orthopaedic practice. This is unusual but a real problem. I did and my arm broke again! I now know that removing metalwork does weaken the bone and it is best to give it a month or so to heal back again. There are three main types of ankle surgery. 3 (range 0 to 6) after removal. 038 respectively), there was no significant difference in overall complications, revision Ankle fusion in this hospital is nearly always performed by an arthroscopic (telescope) technique. Removal. tg ds fr gs mf vh tp mb dy zh