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Orthopaedic Implant Removal

Orthopaedic implant removal is a surgical procedure that involves the removal of hardware, such as screws, plates, or rods, previously implanted in the bones. These implants are usually used in orthopaedic surgeries like fracture repair or joint replacement. If you face issues like implant-related complications, infection around the implant, or pain and discomfort, it might be time to consider an orthopaedic implant removal surgery. Get in touch with our experienced orthopaedic surgeons at Pristyn Care or book an appointment for a comprehensive consultation today.

Orthopaedic implant removal is a surgical procedure that involves the removal of hardware, ... Read More

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    Dr. Debashish Chanda (ncpD3B72NM)

    Dr. Debashish Chanda

    MBBS, MS-Orthopedics
    23 Yrs.Exp.

    4.8/5

    17 Years Experience

    location icon Delhi
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    9355-517-566
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    Dr. Manu Bora (2CDYqEqpB0)

    Dr. Manu Bora

    MBBS, MS-Orthopedics
    18 Yrs.Exp.

    4.7/5

    19 Years Experience

    location icon F10/4, Golf Course Road, DLF Phase 1, Sector 27, Gurugram, Haryana 122001
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    8527-488-190
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    Dr. Sharath Kumar Shetty (HVlM9ywqHb)

    Dr. Sharath Kumar Shetty

    MBBS, MS
    28 Yrs.Exp.

    4.8/5

    29 Years Experience

    location icon 2, Vittal Mallya Rd, Ashok Nagar, Bengaluru, Karnataka 560001
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    8527-488-190
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    Dr. Vikas Jagdishlal Seth (HlkFXBlV9W)

    Dr. Vikas Jagdishlal Set...

    MBBS, MS-Orthopedics
    20 Yrs.Exp.

    4.6/5

    28 Years Experience

    location icon Delhi
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    9355-517-566

What is Orthopaedic Implant Removal?

The orthopaedic implant removal surgery procedure is aimed at treating orthopaedic hardware-related issues within the musculoskeletal system. Your orthopaedic surgeon may have used screws, plates, rods, or other implants to aid in fracture repair or joint replacement surgeries. Over time, these implants might cause discomfort or even lead to complications such as infection or loosening.

The orthopaedic implant removal surgery procedure is performed under general anaesthesia by an orthopaedic surgeon. Firstly, an incision is made over the site of the implant. The surgeon then carefully removes the hardware and closes the incision using sutures or staples. This procedure is often conducted as outpatient surgery allowing patients to head home on the same day. The recovery time post-implant removal varies depending on individual factors and the specific procedure carried out.

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What Are The Types Of Orthopaedic Implant Removal?

There are different types of orthopaedic implant removal surgery procedures, each one designed to effectively remove a specific type of implant. The following are some common types of implants that can be removed:

  • Small Implants: Small implants such as K-wires, tension band wiring, and screws are typically used in minor fracture repairs and can be removed if they become loose or cause irritation.
  • Medium-Sized Implants: Medium-sized implants such as intramedullary nails and plates are often used in more complex fracture repairs or joint replacements and can be removed in cases of discomfort or infection.

Large Implants: Large implants such as dynamic hip screws and multiple site implant removals for spine and other areas are used in substantial surgeries like hip replacements or spinal surgeries. They can be removed by using an orthopaedic implant removal surgery procedure if complications arise or at the patient’s request for personal reasons.

Diagnosis Before Orthopaedic Implant Removal

Prior to an orthopaedic implant removal surgery, a comprehensive medical evaluation is conducted to ascertain the need for the orthopaedic implant removal surgery procedure. The diagnosis usually involves several stages which include:

  • Patient Symptoms: A thorough analysis of the patient’s symptoms is performed. If there is consistent discomfort, pain or irritation because of the implant, it gets flagged for further investigation.
  • Clinical Evaluation: The orthopaedic surgeon undertakes a detailed examination of the patient’s condition. The surgeon looks out for signs of implant-related complications, infection, or hardware prominence which might warrant an orthopaedic implant removal surgery.
  • Medical History: The patient’s medical history is also noted. Previous surgeries and their related complications are especially reviewed to rule out any recurring issues.

What Is The Procedure For Orthopaedic Implant Removal?

The orthopaedic implant removal surgery procedure is quite complex and involves several steps. Generally, these are the stages one can expect during this procedure:

  • Preparation: General anaesthesia is administered to the patient, making them unconscious and unable to feel pain. Furthermore, the surgical site is thoroughly cleaned and prepared.
  • Incision: An incision is made by the surgeon directly over the site of the implant. This allows access to the hardware.
  • Removal: The implant is carefully removed in a way that doesn’t harm the surrounding tissues.

Closure: The incision made earlier is closed with either sutures or staples. After surgery, patients are closely monitored to detect any potential complications early.

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Who Is The Right Candidate For Orthopaedic Implant Removal?

The decision-making for an orthopaedic implant removal surgery largely depends on each individual’s condition and circumstances. However, there are certain criteria that most suitable candidates meet:

  • Type of Implant: It is easier to remove smaller implants such as K-wires, tension band wiring and screws. However, larger implants like dynamic hip screws may necessitate more complex orthopaedic implant removal surgery procedures.
  • Indications: Certain conditions like implant-related complications, infection and persistent pain often necessitate the removal of the implant. Sometimes, the patient might request orthopaedic implant removal surgery due to personal reasons.
  • Postoperative Care: After the orthopaedic implant removal surgery, patients are typically advised to follow a rehabilitation program. They may also need additional support such as casting or bracing during their healing phase.

What Are The Benefits Of Orthopaedic Implant Removal?

An orthopaedic implant removal surgery is prescribed by doctors in certain situations. This may be due to pain, discomfort, or complications resulting from the implant. The benefits of this orthopaedic implant removal surgery procedure are not limited to relieving discomfort; they extend to enhanced patient outcomes and increased quality of life. Below are some key benefits of orthopaedic implant removal:

  • Improved patient outcomes: Post orthopaedic implant removal surgery, many patients report relief from pain and an enhancement in their mobility. This significantly increases patient satisfaction levels.
  • Reduced risk of complications: Removing implants associated with complications can prevent potential issues such as infection, implant failure, and extended recovery times.
  • Increased patient mobility and functionality: The removal of implants can help patients regain full mobility which is particularly important for children and individuals with growth-related concerns.
  • Decreased healthcare costs: Avoiding future complications reduces the need for further treatments, significantly decreasing healthcare costs.

Increased patient satisfaction: Ensuring better orthopaedic implant removal surgery outcomes and minimizing complications can lead to higher patient satisfaction levels.

How To Prepare For Orthopaedic Implant Removal?

Preparing properly for an orthopaedic implant removal surgery is crucial to a successful outcome. Here are a few steps that may help you prepare for your procedure:

  • Follow preoperative guidelines: Your surgeon will provide specific guidelines that you should adhere to. This includes instructions on fasting, medication restrictions, and stopping certain medications that may increase the risk of bleeding or other complications.
  • Maintain a healthy lifestyle: Engage in regular exercise, maintain a healthy diet and ensure you are at a healthy weight before the orthopaedic implant removal surgery.
  • Reduce smoking: Reduce smoking prior to the orthopaedic implant removal surgery as it significantly reduces the risk of complications and promotes successful recovery.
  • Optimize medical conditions: Work with your medical team to manage any pre-existing conditions. Doing so can significantly reduce potential risks during an orthopaedic implant removal surgery.

Communicate with your surgeon: Keeping communication lines open with your surgeon can address any concerns or doubts you may have about the orthopaedic implant removal surgery procedure.

What Are The Recovery Tips and Precautions To Follow After Orthopaedic Implant Removal?

Post orthopaedic implant removal surgery, adhering to the prescribed recovery plan is vital for optimal healing. Here are some key points to remember during your recovery period:

  • Observe wound care instructions: Maintain cleanliness at the surgery site, follow instructions for changing dressings, and regularly check for any signs of infection or slow recovery.
  • Attend follow-up appointments: Regularly visiting your surgeon for scheduled follow-up appointments helps monitor your progress and alleviates any concerns you may have.
  • Avoid heavy lifting or strenuous activities: Give your body time to heal properly by avoiding strenuous activities for a specified period.
  • Manage pain: Use prescribed pain medication responsibly and contact your doctor if pain persists.

Monitor for complications: Keep an eye out for potential complications such as infection, bleeding, or nerve damage after the orthopaedic implant removal surgery. Report any concerns to your doctor immediately.

Potential Risks Or Complications Associated With Orthopaedic Implant Removal

An orthopaedic implant removal surgery procedure comes with a degree of risk. It is important to be aware of these potential complications and discuss them with your doctor:

  • Infection: There is a chance of contracting an infection at the surgical site. This, when severe, could necessitate additional treatment.
  • Bleeding: There is a possibility of bleeding during or after the operation. This may call for additional medical intervention.
  • Nerve or blood vessel injury: The orthopaedic implant removal surgery could inadvertently injure surrounding nerves or blood vessels leading to numbness, weakness, or other issues.
  • Refracture: Especially in children, a refracture can occur due to the stress shield effect of the implant.
  • Wound sepsis: If the wound becomes infected, wound sepsis can occur leading to serious complications.

What Is The Cost Of Orthopaedic Implant Removal In India?

If you are considering undergoing an orthopaedic implant removal surgery, one of the first things you might be curious about is the cost. The cost of undergoing an orthopaedic implant removal surgery in India varies and is generally quite affordable. However, there are certain factors that can influence the overall expense. Here are a few key elements that can affect the cost:

  • Type of Procedure: Depending on the type of implant and where it is located, the complexity of the orthopaedic implant removal surgery may vary which directly influences the cost.
  • Surgeon’s Expertise: A surgeon with a high success rate and years of experience may charge more than a less experienced doctor.
  • Hospital or Clinic: The choice of hospital or clinic can greatly affect the cost. Different healthcare facilities have distinct pricing structures, leading to variations in the overall cost.
  • Location: The city where you decide to have your orthopaedic implant removal surgery can also impact the cost. Metropolitan cities often have higher prices in comparison to smaller towns due to the higher costs of setting up and maintaining a high-quality healthcare facility.
  • Advanced Technology: Hospitals equipped with state-of-the-art technology for performing orthopaedic implant removal surgery procedures often charge more compared to hospitals that use standard methods.

Is Orthopaedic Implant Removal Covered Under Insurance?

Navigating health insurance coverage can be tricky. However, when it comes to an orthopaedic implant removal surgery, certain procedures and conditions are typically covered by insurance providers in India. However, it is crucial to remember that coverage varies significantly depending on your specific insurance plan and provider.

In most cases, if the implant causes symptoms such as pain, and discomfort or has complications such as infection or implant failure, your insurance policy is likely to cover the removal costs. Additionally, if you’re experiencing refractures or other complications due to the implant, this might also be covered.

On the other hand, routine removals that are not causing symptoms or complications might not be covered. Similarly, elective procedures—those chosen by the patient for non-medical reasons, such as cosmetic changes—are often not covered. Lastly, pre-existing conditions or conditions that existed before the implant was placed might also be excluded from your insurance coverage.

Always remember to consult directly with your insurance provider to understand what is and is not covered by your specific policy before undergoing an orthopaedic implant removal surgery.

FAQs around Orthopaedic Implant Removal

What materials are used for orthopaedic implants that might require removal?

Orthopaedic implants can be made from a variety of materials, including stainless steel, cobalt-chromium, titanium, and plastic or ceramic materials. Sometimes, the body may not accept these foreign materials, leading to pain or discomfort that necessitates an orthopaedic implant removal surgery procedure.

Can orthopaedic implants cause discomfort or pain?

While orthopaedic implants can significantly improve the quality of life by helping to restore mobility and reduce pain, in some cases, they may cause discomfort or pain. This could be due to various reasons such as the body’s response to a foreign object, improper healing, infection or loosening of the implant. It is important to consult your doctor if you experience persistent discomfort or pain after the orthopaedic implant removal surgery procedure.

How long do orthopaedic implants usually stay in the body?

The duration for which an orthopaedic implant remains in the body largely depends on the individual’s health condition and the nature of the injury. Some people may need to keep their implants for life while others might require an orthopaedic implant removal surgery after a certain period of time. Your doctor will be able to provide you with personalized advice based on your unique condition.

When is Orthopaedic Implant Removal surgery suggested?

An orthopaedic implant removal surgery is generally recommended when the implant is causing complications such as pain, infection, or allergic reaction or when it has served its purpose and is no longer needed. In some cases, removal may also be necessary if the implant interferes with other medical procedures like MRI scans.

How long does it take to recover from Orthopaedic Implant Removal surgery?

The recovery time from an orthopaedic implant removal surgery varies from person to person depending on their overall health, age and the specific nature of their surgery. Generally, it could take several weeks to a few months for full recovery. Your doctor will give you specific guidelines to speed up your recovery process.

Can I return to normal physical activities after Orthopaedic Implant Removal surgery?

Yes, most people can return to their normal physical activities after an orthopaedic implant removal surgery. However, the exact timeline for this will depend on factors such as the nature of your surgery, age and overall health. It is always best to consult your doctor before resuming strenuous activities or any sports.

What kind of care is required after Orthopaedic Implant Removal surgery?

After the orthopaedic implant removal surgery procedure, it is crucial to follow your doctor’s advice on wound care, medication and physical rehabilitation exercises. Regular follow-up visits may also be necessary for the monitoring of your progress and to ensure that the operated area is healing well.

Are there any alternatives to Orthopaedic Implant Removal surgery?

Alternatives to orthopaedic implant removal surgery are limited and largely depend on factors such as the type of implant, reasons for removal and individual health condition. It’s always important to discuss with your doctor about all possible options and their associated benefits and risks before making a decision.

How long does Orthopaedic Implant Removal surgery take?

The length of an orthopaedic implant removal surgery can vary depending on the complexity of the case, but generally, it could take anywhere between one to three hours.

Can orthopaedic implants get rejected by the body?

While rare, it is possible for the body to reject an orthopaedic implant if an infection occurs or if there is an allergic reaction to the material of the implant. In such cases, the orthopaedic implant removal surgery procedure may need to be performed.

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Medically Reviewed By
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Dr. Debashish Chanda
23 Years Experience Overall
Last Updated : January 15, 2025