When you hear terms like "bone orthopedic screws" or "metal plates," it's easy to imagine something rigid and permanent, almost like a construction project inside your body. But are they truly there for life? The short answer is: not always. Whether these orthopedic implants stay in your body permanently or are removed later depends on several factors, including the type of injury, your age, how well you heal, and your doctor’s judgment.
Let’s break it down.
Why Are Bone Screws and Plates Used?
Bone screws and plates are tools orthopedic surgeons use to stabilize broken bones. After a fracture, these devices hold the bone fragments in the right position so they can heal properly. Think of them as internal scaffolding. Screws can be used alone or in combination with plates, rods, or pins, depending on the complexity of the break.
The materials are usually titanium or stainless steel, which are both strong and biocompatible, meaning your body typically doesn’t reject them.
Are They Meant to Stay in Forever?
Not necessarily. Some implants are intended to be permanent, while others are used temporarily. The decision to remove them later depends on a variety of factors:
- Type of Injury: Simple fractures may require implants only temporarily. More complex injuries, like shattered bones or joint reconstructions, might need permanent support.
- Age: Children often get hardware removed because their bones are still growing. Keeping screws or plates in could interfere with that growth.
- Healing Progress: Once the bone has fully healed and is strong enough on its own, doctors may recommend taking the hardware out, especially if it’s causing discomfort.
- Symptoms: Some people experience pain, irritation, or limited mobility from implants. In such cases, removal might be necessary.
When Do Doctors Remove Bone Screws or Plates?
If removal is needed, it usually happens several months to a few years after the initial surgery. Doctors wait until the bone has fully healed. Removal is more common in younger, more active patients who place more stress on their bones. Athletes, for example, often choose to remove implants that could interfere with performance or mobility.
But if you’re not having any issues, many surgeons will advise leaving them in. Unnecessary surgery carries its own risks, like infection, nerve damage, or refracture.
What’s the Removal Process Like?
The procedure to remove bone hardware is generally simpler than the initial surgery. It’s often done under general or regional anesthesia and may be performed as an outpatient procedure, meaning you can go home the same day.
Recovery time varies, but it's typically shorter than the recovery for the original injury. You may feel sore or weak at the site initially, but physical therapy can help restore full function.
Are There Any Risks to Keeping Them In?
While many people live their entire lives with bone screws and plates with no problems, some do encounter complications:
- Irritation: Metal implants can sometimes rub against surrounding tissues or tendons.
- Allergic Reaction: Rare, but some people react to the metals used.
- Cold Sensitivity: Some patients notice discomfort in cold weather, as metal conducts temperature.
- Interference with Scans: Modern implants are usually MRI-safe, but they can sometimes distort imaging or trigger airport metal detectors.
Bottom Line
Bone screws and plates are incredible tools for healing serious injuries, but they’re not always meant to be permanent. Whether they stay in or come out depends on your specific situation. If you’re healing well and not in pain, there’s often no reason to remove them. But if you’re experiencing issues or just want peace of mind, it’s worth having a candid conversation with your orthopedic surgeon.
If you are looking for an international standard range of orthopedic implants and instruments, explore the inventory of Siora Surgicals Pvt. Ltd., one of the top orthopedic medical device companies in India.