ABSTRACT
INTRODUCTION: As technology has improved, fracture treatment has as well. Modern contouring plates and nails are possible depending on the bone and the location of the fracture. even after implant material advances. On the other side, there is an ongoing debate among surgeons over the crucial justification for implant removal. The patient’s symptoms are mostly responsible for implant removal. The study’s objectives are to examine the main factors that lead to implant removal and identify the implants that must be removed during orthopedic procedures.
METHODS: An analysis of 89 patients who were hospitalized for implant removal between January 2017 and January 2020 was carried out. A total of 112 patients were selected with care. Selected were all implant removal patients who were hospitalized with ages ranging from 18 to 55 and who had all necessary paperwork in order, such as a completed blood test and an X-ray report, at the time of admission.
RESULTS: 89 patients participated in the trial, including 73 men and 16 women. The research group’s average age was 38 years old. Four categories were used to group the reasons for implant removal: (I) Pain, (II) Infection, (III) Implant resorption or failure (IV) Opt-in (patient’s decision). According to our study, distal Tibial/Ankle plates (14.4%), Femoral Intramedullary (IMIL) nails (13.25%), Olecranon wires and plates (12.04%), Tibial IMIL nails, and Patellar tension band wires (9.53%) are implants that are commonly removed.
CONCLUSIONS: The medical justifications for implant removal have not been well investigated. Our investigation revealed that pain or discomfort was the main reason for implant removal (37.1%). Infection was the second most frequent cause of removal (26.96%) of the implant. Thirdly, implant failure in symptomatic patients due to subpar implants, insufficient or defective implants, and unwilling patients was an indicator. The patient’s desire was the fourth indication. Due to variables including bone ingrowth and implant deterioration, implant removal requires a difficult surgical procedure.
KEYWORDS: fracture, implant, nails, plates