J Korean Fract Soc.  2016 Apr;29(2):101-106. 10.12671/jkfs.2016.29.2.101.

Comparison of Quality of Life between Before and After Orthopaedic Implant Removal Surgery

Affiliations
  • 1Department of Orthopaedic Surgery, Daegu Catholic University Medical Center, Daegu, Korea. sbchae@cu.ac.kr

Abstract

PURPOSE
The purpose of this study is to determine whether or not a patient's results are improved after removal of an internal fixative from a patient with no related symptoms.
MATERIALS AND METHODS
This prospective study included 87 patients who agreed to participate in the study and satisfied the criteria for selection and exclusion of patients who underwent the operation for removal of internal fixative due to broken bones from March 1st, 2004 to December 31st, 2011 at Daegu Catholic University Medical Center. The average replication period was 27 months (12-64 months) and the average age at the time of the operation for removal was 41.5 years (21-75 years) for 55 males and 32 females. The quality of life for all patients was evaluated using Short Form 36 (SF-36) surveys before the operation for removal and after a minimum of one year.
RESULTS
After an orthopedic operation for removal of internal fixative, physical health status showed statistically significant improvement (p=0.001); however mental health status did not (p=0.411). A satisfaction test for the subjective surgery written by patients indicated an improvement of subjective health status in 52.9% after the surgery for removal but with no difference in 29.9% compared to preoperation.
CONCLUSION
In case of an operation for removal of internal fixative for patients with no related symptoms with internal fixatives used for treatment of fractures showing agglutination opinions, an improvement was observed in physical health status, not in mental health status. When surgery for removal of internal fixative is performed for patients without related symptoms, consideration that subjective satisfaction of patients shows an improvement only in 52.9% will be helpful.

Keyword

Orthopaedic implant; Removal surgery; Quality of life

MeSH Terms

Academic Medical Centers
Agglutination
Daegu
Female
Fixatives
Fractures, Bone
Humans
Male
Mental Health
Orthopedics
Prospective Studies
Quality of Life*
Fixatives

Reference

1. Jamil W, Allami M, Choudhury MZ, Mann C, Bagga T, Roberts A. Do orthopaedic surgeons need a policy on the removal of metalwork? A descriptive national survey of practicing surgeons in the United Kingdom. Injury. 2008; 39:362–367.
Article
2. Richards RH, Palmer JD, Clarke NM. Observations on removal of metal implants. Injury. 1992; 23:25–28.
Article
3. Busam ML, Esther RJ, Obremskey WT. Hardware removal: indications and expectations. J Am Acad Orthop Surg. 2006; 14:113–120.
Article
4. Böstman O, Pihlajamäki H. Routine implant removal after fracture surgery: a potentially reducible consumer of hospital resources in trauma units. J Trauma. 1996; 41:846–849.
5. Hanson B, van der Werken C, Stengel D. Surgeons' beliefs and perceptions about removal of orthopaedic implants. BMC Musculoskelet Disord. 2008; 9:73.
Article
6. Sanderson PL, Ryan W, Turner PG. Complications of metalwork removal. Injury. 1992; 23:29–30.
Article
7. Böstman OM. Refracture after removal of a condylar plate from the distal third of the femur. J Bone Joint Surg Am. 1990; 72:1013–1018.
Article
8. Deluca PA, Lindsey RW, Ruwe PA. Refracture of bones of the forearm after the removal of compression plates. J Bone Joint Surg Am. 1988; 70:1372–1376.
Article
9. Hidaka S, Gustilo RB. Refracture of bones of the forearm after plate removal. J Bone Joint Surg Am. 1984; 66:1241–1243.
Article
10. Langkamer VG, Ackroyd CE. Removal of forearm plates A review of the complications. J Bone Joint Surg Br. 1990; 72:601–604.
Article
11. Mih AD, Cooney WP, Idler RS, Lewallen DG. Longterm follow-up of forearm bone diaphyseal plating. Clin Orthop Relat Res. 1994; (299):256–258.
Article
12. Rosson JW, Shearer JR. Refracture after the removal of plates from the forearm. An avoidable complication. J Bone Joint Surg Br. 1991; 73:415–417.
Article
13. Beaupre GS, Csongradi JJ. Refracture risk after plate removal in the forearm. J Orthop Trauma. 1996; 10:87–92.
Article
14. Davison BL. Refracture following plate removal in supracondylar-intercondylar femur fractures. Orthopedics. 2003; 26:157–159.
Article
15. Gösling T, Hufner T, Hankemeier S, Zelle BA, Muller-Heine A, Krettek C. Femoral nail removal should be restricted in asymptomatic patients. Clin Orthop Relat Res. 2004; (423):222–226.
Article
16. Brown OL, Dirschl DR, Obremskey WT. Incidence of hardware-related pain and its effect on functional outcomes after open reduction and internal fixation of ankle fractures. J Orthop Trauma. 2001; 15:271–274.
Article
17. Raman R, Roberts CS, Pape HC, Giannoudis PV. Implant retention and removal after internal fixation of the symphysis pubis. Injury. 2005; 36:827–831.
Article
18. Townend M, Parker P. Metalwork removal in potential army recruits. Evidence-based changes to entry criteria. J R Army Med Corps. 2005; 151:2–4.
Article
19. Evers B, Habelt R, Gerngross H. Indication, timing and complications of plate removal after forearm fractures: results of metaanlysis including 635 cases. J Bone Joint Surg Br. 2004; 86:289–294.
20. Chia J, Soh CR, Wong HP, Low YP. Complications following metal removal: a follow-up of surgically treated forearm fractures. Singapore Med J. 1996; 37:268–269.
21. Jago ER, Hindley CJ. The removal of metalwork in children. Injury. 1998; 29:439–441.
Article
22. Rumball K, Finnegan M. Refractures after forearm plate removal. J Orthop Trauma. 1990; 4:124–129.
Article
23. Vos D, Hanson B, Verhofstad M. Implant removal of osteosynthesis: the Dutch practice. Results of a survey. J Trauma Manag Outcomes. 2012; 6:6.
Article
24. Kirchhoff C, Braunstein V, Kirchhoff S, et al. Outcome analysis following removal of locking plate fixation of the proximal humerus. BMC Musculoskelet Disord. 2008; 9:138.
Article
25. Minkowitz RB, Bhadsavle S, Walsh M, Egol KA. Removal of painful orthopaedic implants after fracture union. J Bone Joint Surg Am. 2007; 89:1906–1912.
Article
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