Removing bone anchors

We remind you that independent interpretation of the results is unacceptable, the information provided below is for reference purposes only.

Removal of fixation devices (pins) is a surgical procedure in which pins or other fixation elements used to stabilize bone fragments during the treatment of a fracture or another orthopedic condition are removed.

Fixation devices are removed after bone healing has occurred and when the physician determines that they are no longer necessary to maintain bone stability. The timing of removal is determined based on clinical assessment and, when necessary, the results of imaging studies.

The removal technique depends on the location, type and position of the pins, as well as the individual characteristics of the patient.

Indications

• bone healing following fracture treatment with pins;
• removal of fixation devices after the required bone stability has been achieved;
• pins that are no longer required after completion of the fixation period;
• local irritation or discomfort associated with the presence of pins;
• mobility or displacement of a fixation device;
• recommendation by an orthopedic trauma surgeon to remove the fixation material.

Procedure

Before the procedure, the physician assesses the condition of the treated area and the degree of bone healing. Depending on the case, imaging studies may be recommended to confirm bone healing.

The type of anesthesia is determined by the physician depending on the location and position of the fixation device and the complexity of the procedure.

Through the necessary surgical approach, the pins are exposed and removed using surgical instruments. Depending on their position, the procedure may require a small incision.

After the fixation device is removed, the area is cleaned and, if necessary, the wound is closed and covered with a dressing.

The duration of the procedure depends on the number, location and position of the fixation devices.

Limitations

• Fixation devices are removed only after the physician confirms that they are no longer required for bone stability.
• Temporary pain, sensitivity, swelling or discomfort may occur in the treatment area after the procedure.
• Physical activity may need to be restricted for a certain period, depending on the location of the fixation device and the condition of the bone.
• A recovery period may be required for wound healing and a return to usual activities.

Contraindications

Contraindications are determined individually by the physician and may include:

• active infection at the procedure site;
• insufficient bone healing when the fixation device is still required for stability;
• acute or decompensated conditions that increase the risk of the procedure;
• severe uncorrected coagulation disorders;
• other conditions that may increase the risk of the procedure and require it to be postponed.

Advantages

• removal of fixation material after bone healing;
• reduction of irritation or local discomfort associated with the presence of pins;
• removal of a fixation element that is no longer necessary;
• possibility of a gradual return to usual activities according to the physician’s recommendations;
• minimally invasive surgical access, depending on the location and position of the fixation device.
   

Sources:

https://pubmed.ncbi.nlm.nih.gov/15780382/
https://www.scirp.org/journal/paperinformation?paperid=95892
https://www.verywellhealth.com/external-fixation-2548519
https://www.webmd.com/a-to-z-guides/what-to-know-about-external-fixator
https://www.mskcc.org/cancer-care/patient-education/about-your-external-fixator-ex-fix
https://www.ncbi.nlm.nih.gov/books/NBK547694/
https://orthoinfo.aaos.org/en/treatment/internal-fixation-for-fractures#:~:text=The%20fixator%20will%20be%20removed%20when%20surgery%20to,typically%20managed%20with%20wound%20care%20and%2For%20oral%20antibiotics.

IMPORTANT!

It is crucial to remember that the information provided in this section is not intended for self-diagnosis or self-treatment. If you experience any pain or exacerbation of a medical condition, it is essential to consult a healthcare professional for proper diagnostic tests and treatment. Only a qualified specialist can provide an accurate diagnosis and determine the appropriate course of treatment. To obtain the most accurate and consistent evaluation of test results, it is recommended to have them performed at the same laboratory. Different laboratories may use varying methods and units of measurement for similar tests, which can impact the interpretation of results.