MOJ Header

Current Issue - November 2022, Volume 16, Issue No. 3

Official Journal of Malaysian Orthopaedic Association and ASEAN Orthopaedic Association

Is Elective Implant Removal after Fracture Healing Beneficial? – A Prospective Cohort Study


  1. Bostman O, Pihlajamaki H. Routine implant removal after fracture surgery: a potentially reducible consumer of hospital resources in trauma units. J Trauma. 1996, 41: 846-9. doi: 10.1097/00005373-199611000-00013
  2. Ko S, Lee J, Nam Junho. Effectiveness of orthopedic implant removal surgery in patients with no implant-related symptoms after fracture union of isolated lower extremity shaft fractures: patient-centered evaluation. Arch Orthop Trauma Surg. doi: 10.1007/s00402-021-03993-y
  3. Williams BR, McCreary DL, Chau M, Cunningham BP, Pena F, Swiontkowski MF. Functional Outcomes of Symptomatic Implant Removal Following Ankle Fracture Open Reduction and Internal Fixation. Foot Ankle Int. 2018; 39(6): 674-80. doi: 10.1177/1071100718757719
  4. Suda AJ, Heilgeist E, Tinelli M, Eischel OE. High early post-operative complication rate after elective aseptic orthopedic implant removal of upper and lower limb. J Orthop Res. 2018; 36(3): 1035-9. doi: 10.1002/jor.23718A
  5. Prediger B, Mathes T, Probst C, Pieper D. Elective removal vs. retaining of hardware after osteosynthesis in asymptomatic patients-a scoping review. Syst Rev. 2020; 9(1): 225. doi: 10.1186/s13643-020-01488-2
  6. Richards RH, Palmer JD, Clarke NM. Observations on removal of metal implants. 1992; 23(1): 25-8. doi: 10.1016/0020- 1383(92)90120-h
  7. Kirchhoff C, Braunstein V, Kirchhoff S, Sprecher CM, Ockert B, Fischer F, et al. Outcome Analysis Following Removal of Locking Plate Fixation of the Proximal Humerus. BMC Musculoskelet Disord. 2008; 9:138. doi: 10.1186/1471-2474-9-138
  8. Sidky A, Buckley RE. Hardware Removal After Tibial Fracture Has Healed. Can J Surg. 2008; 51(4): 263-8.
  9. Karladani AH, Ericsson PA, Granhed H, Karlsson L, Nyberg P. Tibial Intramedullary Nails -- Should They Be Removed? A Retrospective Study of 71 Patients. Acta Orthop. 2007; 78(5): 668-71. doi: 10.1080/17453670710014374
  10. Vos DI, Verhofstad MHJ. Indications for implant removal after fracture healing: a review of the literature. Eur J Trauma Emerg Surg. 2013; 39(4): 327-37. doi: 10.1007/s00068-013-0283-5
  11. Kumar G, Mereddy PK, Hakkalamani S, Donnachie N. implant removal Following Surgical Stabilization of Patella Fracture. 2010; 33(5). doi: 10.3928/01477447-20100329-14
  12. 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(4): 271-4. doi: 10.1097/00005131-200105000-00006
  13. Langkamer VG, Ackroyd CE. Removal of Forearm Plates. A Review of the Complications. J Bone Joint Surg Br. 1990; 72(4): 601-4. doi: 10.1302/0301-620X.72B4.2380210
  14. Sanderson PL, Ryan W, Turner PG. Complications of metalwork removal. 1992; 23(1): 29-30. doi: 10.1016/0020-1383(92)90121-8
  15. Davison BL. Refracture following plate removal in supracondylar-intercondylar femur fractures. 2003; 26(2):157-9.
  16. 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(9): 1372-6.
  17. Hidaka S, Gustilo RB. Refracture of bones of the forearm after plate removal. J Bone Joint Surg Am. 1984; 66(8): 1241-3.

Abstract   |   Reference

MOJ footer

About Us

The Malaysian Orthopaedic Journal is a peer-reviewed journal that is published three times a year in both print and electronic online version. The purpose of this journal is to publish original research studies, evaluation of current practices and case reports in various subspecialties of orthopaedics and traumatology, as well as associated fields like basic science, biomedical engineering, rehabilitation medicine and nursing.

Keep in Touch

creative-commons License