Forearm fracture plates: to remove or not to remove

J Hand Surg Am. 1990 Mar;15(2):294-301. doi: 10.1016/0363-5023(90)90112-5.

Abstract

Eighty dynamic compression plates used to fix fractures of the radius and/or ulna were removed from 51 of 98 adult patients. Thirty-seven patients had plates removed electively. Fourteen patients had plates removed for clinical reasons. The average time from insertion to removal was 13.6 months, with a range from 4.4 to 36 months. Only one refracture occurred through the unhealed both bone forearm fracture site in a patient whose plate was taken out 6 months after surgery. One refracture also occurred through the proximal screw hole of a still implanted ulna plate that had been inserted 3 years earlier. Leaving a plate in for the remaining life of a young patient cannot be considered a benign decision considering the persisting chance for refracture and the potential complications from prolonged exposure to metal corrosion complexes and metal ions.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bone Plates*
  • Bone Screws
  • Corrosion
  • Female
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications
  • Radiography
  • Radius Fractures / diagnostic imaging
  • Radius Fractures / surgery*
  • Reoperation
  • Retrospective Studies
  • Time Factors
  • Ulna Fractures / diagnostic imaging
  • Ulna Fractures / surgery*