Should I Remove a Surgically Fixed Clavicle Plate if It Causes Discomfort?

If you are experiencing discomfort from a surgically fixed clavicle plate, the most important step is to consult your orthopedic surgeon or healthcare provider. They can assess your specific situation, determine if the discomfort is related to the plate, and discuss the potential benefits and risks of removing it.

Understanding the Situations

In some cases, plates can cause irritation or discomfort, especially if there is ongoing inflammation or if the bone has healed sufficiently. However, removal is not always necessary. Your doctor will help you make the best decision based on your symptoms and overall health.

Reasons to Keep the Plate

Often, plates like those used to fix clavicle fractures are left in place to ensure proper healing. In general, if the plate is not causing you any problems, it is best to leave it alone. Common reasons to leave the plate in include:

Immobilization of the bone during healing Reducing the risk of refracture

Common Reasons to Remove the Plate

The primary reasons for removing a clavicle plate are discomfort or the prominence of the plate and screws. However, there are trade-offs to consider:

Trade-offs: Removing the plate and screws may eliminate discomfort, but it also means trading the bump for a new scar. Risk of Refracture: Screw holes can be a weak spot in the bone until they fill in. There is a risk of refracture after plate removal, even with minimal trauma, and this weakness can last for at least six months.

These risks are significant and should be carefully weighed against the benefits. My general recommendation is to wait at least a year post-surgery before considering plate removal to ensure full healing of the fracture.

Consultation and Care

It's crucial to consult with your orthopedic surgeon before making any decision. Here are some steps that can help clarify your options:

Seek Medical Advice: Your doctor can provide a comprehensive assessment, considering all aspects of your health and the specifics of your case. Review Surgical Records: Obtaining and reviewing your surgical records, operative reports, and postoperative imaging can provide valuable context. Consult Other Specialists: If you're unsure of your surgeon's advice, seeking a second opinion from another orthopedic specialist can offer different perspectives.

In conclusion, for most patients, the benefits of leaving the plate in place outweigh the risks, especially if the plate is not causing significant discomfort. Always make decisions with the guidance of a qualified healthcare professional to ensure the best outcome for your recovery.