Indications and Complications of Orthopedic Hardware Removal in an Indonesian Tertiary Hospital: A Descriptive Study

Authors

  • Shadrina Affifa Azzahra Medical Undergraduate Study Programs Fakultas Kedokteran Universitas Padjadjaran
  • Raden Andri Primadhi Department of Orthopaedics and Traumatology Universitas Padjadjaran Medical School http://orcid.org/0000-0002-5825-5941 (unauthenticated)
  • Titing Nurhayati Department of Basic Medical Sciences, Universitas Padjadjaran Medical School
  • Muhammad Naseh Sajadi Department of Orthopaedics and Traumatology Universitas Padjadjaran Medical School
  • Achadiyani Achadiyani Department of Basic Medical Sciences, Universitas Padjadjaran Medical School

DOI:

https://doi.org/10.15850/ijihs.v10n1.2695

Keywords:

Complication, hardware, indication, removal

Abstract

Objective: To acquire clinical data regarding indications of implant removal and complications in orthopedic metal implant removal.

Methods: This was a cross-sectional observational descriptive study using patient medical records. The inclusion criterion was all patients who underwent orthopedic metal implant removal during 2018-2020 while the exclusion criterion was unintentional implant removal due to subsequent injury or loosening. Data regarding anatomic regions, indications, and complications were collected and presented in tables.

Results: In 112 patients participated in this study consisting of 75 (67%) men and 37 (33%) women, the implants were mainly located in thigh, lower leg, and ankle (53% combined). The most common indication for metal implant removal was conversion (31%), followed by infection (25%) and patient's request (20%). The only complication observed in orthopedic metal implant removal in this study was disturbed wound healing in a small percentage of the patients (16%). Most patients (84%) did not experience any complication due to metal implant removal.

Conclusions: Indications for metal implant removal may vary, with or without symptoms. Disturbed wound healing is a complication observed in metal implant removal. Despite the advantages of removal, further analysis and guidelines are needed to avoid unnecessary hardware removal considering the risk of complications.

Author Biography

  • Raden Andri Primadhi, Department of Orthopaedics and Traumatology Universitas Padjadjaran Medical School
    Head of Foot and Ankle Section

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Published

2022-03-31

Issue

Vol. 10 No. 1 (2022)

Section

Articles

License

Authors retain copyright and grant International Journal of Integrated Health Sciences right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to freely share and remix the work with an acknowledgement of the work's authorship and initial publication in International Journal of Integrated Health Sciences.