URL of this page: //medlineplus.gov/ency/article/007644.htm

Hardware removal - extremity

Surgeons use hardware such as pins, plates, or screws to help fix a broken bone or to correct an abnormality in a bone. Most often, this involves bones of the legs, arms, or spine.

Later, if you have a lot of pain or other problems related to the hardware, you may have surgery to remove the hardware. This is called hardware removal surgery.

Description

For the procedure, you may be given medicine to numb the area (local anesthesia) while you are awake. Or you may be put to sleep so you do not feel anything during the surgery (general anesthesia).

Monitors will keep track of your blood pressure, heart rate, and breathing during the surgery.

During the surgery, your surgeon may:

  • Open the original incision or use new or longer incisions to remove hardware
  • Remove any scar tissue that has formed over the hardware
  • Remove the old hardware. Sometimes, new hardware may be put in its place.

Depending on the reason for the surgery, you may have other procedures at the same time. Your surgeon may remove infected tissue if needed. If the bones have not healed, additional procedures may be done, such as a bone graft.    

Your surgeon will close the incision with stitches, staples, or special glue. It will be covered with a bandage to help prevent infection.

Why the Procedure is Performed

There are several reasons why hardware is removed:

  • Pain from the hardware
  • Infection
  • Allergic reaction to hardware
  • To prevent problems with growing bones in young people
  • Nerve damage
  • Broken hardware
  • Bones that did not heal and join properly

Risks

Risks for any procedure that requires sedation are:

  • Reactions to medicine
  • Breathing problems

Risks for any type of surgery include:

  • Bleeding
  • Blood clot
  • Infection

Risks for hardware removal surgery are:

  • Infection
  • Re-fracture of the bone
  • Nerve damage

Before the Procedure

Before the surgery, you may have x-rays of the hardware. You also may need blood or urine tests.

Always tell your health care provider what medicines, supplements, or herbs you take.

  • You may be asked to stop taking certain medicines before your surgery.
  • Ask your provider which drugs you should still take on the day of your surgery.
  • If you smoke, try to stop. Smoking can slow healing.
  • You may be asked not to drink or eat anything for 6 to 12 hours before surgery.

After the Procedure

You should have someone drive you home after the surgery.

You will need to keep the area clean and dry. Your doctor or nurse will give you instructions about wound care.

Ask your provider when it is safe to put weight on or use your limb. How long it takes to recover depends on whether you have had other procedures, such as a bone graft. Ask your provider how long it may take to heal.

Outlook (Prognosis)

Most people have less pain and better function after hardware removal.

References

Busam ML, Esther RJ, Obremskey WT. Hardware removal: indications and expectations. J Am Acad Orthop Surg. February 2006;14:113-120.

Means KR, Graham TJ. Disorders of the Forearm Axis. In: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, eds. Green's Operative Hand Surgery. 6th ed. Philadelphia, PA: Elsevier Churchill Livingston; 2010:chap. 23.

Minkowitz, RB, Bhadsavle, S, Walsh, M, Egol, KA. Removal of painful orthopaedic implants after fracture union. J Bone Joint Surg Am. 2007 Sep;89(9):1906-12.

Rudloff MI. Fractures of the lower extremity. In: Campbell's Operative Orthopaedics. 12th ed. Philadelphia, PA: Elsevier Mosby; 2012:chap. 54.

Sidky, A, Buckley, RE. Hardware removal after tibial fracture has healed. Can J Surg. 2008 Aug;51(4):263-8.

Review Date 9/1/2014

Updated by: Joshua Kunin, MD, consulting colorectal surgeon, Zichron Yaakov, Israel. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

Related MedlinePlus Health Topics