An investigation to assess the implant removal for a variety of reasons
Main Article Content
Keywords
fracture, implant, nails, plates
Abstract
As technology has improved, fracture treatment has as well. Modern contouring plates and nails are possible depending on the bone and the location of the fracture. even after implant material advances. On the other side, there is an ongoing debate among surgeons over the crucial justification for implant removal. The patient's symptoms are mostly responsible for implant removal. The study's objectives are to examine the main factors that lead to implant removal and identify the implants that must be removed during orthopedic procedures.
METHODS: An analysis of 89 patients who were hospitalized for implant removal between January 2017 and January 2020 was carried out. A total of 112 patients were selected with care. Selected were all implant removal patients who were hospitalized with ages ranging from 18 to 55 and who had all necessary paperwork in order, such as a completed blood test and an X-ray report, at the time of admission.
RESULTS: 89 patients participated in the trial, including 73 men and 16 women. The research group's average age was 38 years old. Four categories were used to group the reasons for implant removal: (I) Pain, (II) Infection, (III) Implant resorption or failure (IV) Opt-in (patient's decision). According to our study, distal Tibial/Ankle plates (14.4%), Femoral Intramedullary (IMIL) nails (13.25%), Olecranon wires and plates (12.04%), Tibial IMIL nails, and Patellar tension band wires (9.53%) are implants that are commonly removed.
CONCLUSIONS: The medical justifications for implant removal have not been well investigated. Our investigation revealed that pain or discomfort was the main reason for implant removal (37.1%). Infection was the second most frequent cause of removal (26.96%) of the implant. Thirdly, implant failure in symptomatic patients due to subpar implants, insufficient or defective implants, and unwilling patients was an indicator. The patient's desire was the fourth indication. Due to variables including bone ingrowth and implant deterioration, implant removal requires a difficult surgical procedure.
References
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18. Patel, S., Ghosh, A., Jindal, K., Kumar, V., Aggarwal, S., & Kumar, P. (2022). Spinopelvic fixation for vertically unstable AO type C pelvic fractures and sacral fractures with spinopelvic dissociation-A systematic review and pooled analysis involving 479 patients. Journal of Orthopaedics.
19. Schwarz, F., Obreja, K., Mayer, S., Ramanauskaite, A., Sader, R., & Parvini, P. (2022). Efficacy of autogenous tooth roots for a combined vertical and horizontal alveolar ridge augmentation and staged implant placement. A prospective controlled clinical study. Journal of Clinical Periodontology, 49(5), 496-505.
20. Chang, C. J., Huang, T. C., Hoshino, Y., Wang, C. H., Kuan, F. C., Su, W. R., & Hong, C. K. (2022). Functional outcomes and subsequent surgical procedures after arthroscopic suture versus screw fixation for ACL tibial avulsion fractures: a systematic review and meta-analysis. Orthopaedic Journal of Sports Medicine, 10(4), 23259671221085945.
21. Sun, Y., Helmholz, H., Will, O., Damm, T., Wiese, B., Luczak, M., ... & Willumeit-Römer, R. (2022). Dynamic in vivo monitoring of fracture healing process in response to magnesium implant with multimodal imaging: Pilot longitudinal study in a rat external fixation model. Biomaterials Science, 10(6), 1532-1543.
22. Stapińska-Syniec, A., Sobstyl, M., & Paskal, W. (2023). Skin-related complications following deep brain stimulation surgery: A single-center retrospective analysis of 525 patients who underwent DBS surgery. Clinical Neurology and Neurosurgery, 225, 107571.
23. van Sloten, M., Gómez-Junyent, J., Ferry, T., Rossi, N., Petersdorf, S., Lange, J., ... & ESCMID Study Group of Implant Associated Infections (ESGIAI). (2022). Should all patients with a culture-negative periprosthetic joint infection be treated with antibiotics? A multicentre observational study. The Bone & Joint Journal, 104(1), 183-188.
24. de Carvalho, L. F., de Carvalho, L. P., Sotto-Maior, B. S., Dias, A. L., Bezerra, F. J. B., Bergamo, E. T., & de Carvalho, A. M. (2022). Rehabilitation of Atrophic Maxilla With Immediate Loading of Extrasinus Zygomatic Implant. Journal of Craniofacial Surgery, 33(5), e488-e491.
25. Badin, D., Ortiz-Babilonia, C., Musharbash, F., & Jain, A. (2022). 100. Disparities in elective spine surgery for Medicaid beneficiaries: a systematic review. The Spine Journal, 22(9), S54-S55.
26. Groundland, J., Brown, J. M., Monument, M., Bernthal, N., Jones, K. B., & Randall, R. L. (2022). What Are the Long-term Surgical Outcomes of Compressive Endoprosthetic Osseointegration of the Femur with a Minimum 10-year Follow-up Period?. Clinical Orthopaedics and Related Research®, 480(3), 539-548.
27. Glicksman, C., McGuire, P., Kadin, M., Lawrence, M., Haws, M., Newby, J., ... & Wixtrom, R. (2022). Impact of capsulectomy type on post-explantation systemic symptom improvement: findings from the ASERF systemic symptoms in women-biospecimen analysis study: part 1. Aesthetic Surgery Journal, 42(7), 809-819.
28. Gramlich, Y., Hofmann, L., Kress, S., Ruckes, C., Kemmerer, M., Klug, A., ... & Kremer, M. (2022). Critically high metal ion levels found in metal-on-metal modular hinged knee arthroplasty: a comparison of two different systems. The Bone & Joint Journal, 104(3), 376-385.
29. Miseré, R. M., & van der Hulst, R. R. (2022). Self-reported health complaints in women undergoing explantation of breast implants. Aesthetic Surgery Journal, 42(2), 171-180.
30. Tan, E. S., Lee, J. Y., Boey, E., Soh, R., Sim, M. G., Yeo, W. T., ... & Kojodjojo, P. (2022). Use of extendable helix leads for conduction system pacing: Differences in lead handling and performance lead design impacts conduction system pacing. Journal of Cardiovascular Electrophysiology, 33(7), 1550-1557.
31. Patil, C., Agrawal, A., Abullais, S. S., Arora, S., Khateeb, S. U., & Fadul A. Elagib, M. (2022). Effectiveness of Different Chemotherapeutic Agents for Decontamination of Infected Dental Implant Surface: A Systematic Review. Antibiotics, 11(5), 593.
32. Zhu, W. Y., Guo, J., Yang, W. F., Tao, Z. Y., Lan, X., Wang, L., ... & Su, Y. X. (2022). Biodegradable magnesium implant enhances angiogenesis and alleviates medication-related osteonecrosis of the jaw in rats. Journal of Orthopaedic Translation, 33, 153-161.
2. Kreutzer, K., Steffen, C., Nahles, S., Koerdt, S., Heiland, M., Rendenbach, C., & Beck-Broichsitter, B. (2022). Removal of patient-specific reconstruction plates after mandible reconstruction with a fibula free flap: is the plate the problem?. International journal of oral and maxillofacial surgery, 51(2), 182-190.
3. Tas, D. B., Smeeing, D. P., Keizer, J., Houwert, R. M., & Emmink, B. L. (2022). Postoperative complications of minimally invasive intramedullary nail fixation versus plate fixation for distal fibular fractures in elderly patients: a retrospective double cohort study in a geriatric trauma unit in the Netherlands. The Journal of Foot and Ankle Surgery, 61(6), 1170-1176.
4. Kweh, B. T. S., Tan, T., Lee, H. Q., Hunn, M., Liew, S., & Tee, J. W. (2022). Implant removal versus implant retention following posterior surgical stabilization of thoracolumbar burst fractures: A systematic review and meta-analysis. Global Spine Journal, 12(4), 700-718.
5. Tay, M. L., McGlashan, S. R., Monk, A. P., & Young, S. W. (2022). Revision indications for medial unicompartmental knee arthroplasty: a systematic review. Archives of Orthopaedic and Trauma Surgery, 1-14.
6. Bicong, L., Allen, J. C., Arps, K., Al‐Khatib, S. M., Bahnson, T. D., Daubert, J. P., ... & Piccini, J. P. (2022). Leadless pacemaker implantation after lead extraction for cardiac implanted electronic device infection. Journal of cardiovascular electrophysiology, 33(3), 464-470.
7. Casiraghi, A., Galante, C., Rohayem, M., Vittone, G., Domenicucci, M., Cattaneo, S., ... & Milano, G. (2023). Implant retention with serial debridement and use of antibiotic-loaded calcium sulphate beads in acute fracture-related infection (FRI) after pelvic ring or acetabular fractures: a retrospective case series of 7 cases. Injury.
8. Rizaev, J. A., & Bekmuratov, L. R. (2022). Prevention of tissue resorption during immediate implant placement by using socket shield technique. Art of Medicine. International Medical Scientific Journal, 2(3).
9. Lin, Y. C., Chang, C. H., Hu, C. C., Chang, Y., Lee, S. H., & Lin, S. H. (2023). Does the indication for revision associate with the outcomes of revision total knee arthroplasty? A retrospective analysis with a minimum ten-year follow-up.
10. Wixtrom, R., Glicksman, C., Kadin, M., Lawrence, M., Haws, M., Ferenz, S., ... & McGuire, P. (2022). Heavy metals in breast implant capsules and breast tissue: findings from the systemic symptoms in women–biospecimen analysis study: part 2. Aesthetic Surgery Journal, 42(9), 1067-1076.
11. Tułecki, Ł., Czajkowski, M., Targońska, S., Polewczyk, A., Jacheć, W., Tomków, K., ... & Kutarski, A. (2022). The role of cardiac surgeon in transvenous lead extraction: Experience from 3462 procedures. Journal of Cardiovascular Electrophysiology, 33(7), 1357-1365.
12. Mavrommatis, S., LaRoque, M. C., Yang, G., Brahme, I. S., & Cole, P. A. (2022). Does the Option to Keep Explanted Orthopaedic Trauma Implants Influence Patient Satisfaction and Perception of Care? Results of a Survey Study. Journal of Orthopaedic Trauma, 10-1097.
13. Diemberger, I., Segreti, L., Rinaldi, C. A., Svendsen, J. H., Kutarski, A., Younis, A., ... & ELECTRa Investigators. (2022). Transvenous Lead Extraction in Patients with Cardiac Implantable Device: The Impact of Systemic and Local Infection on Clinical Outcomes—An ESC-EHRA ELECTRa (European Lead Extraction Controlled) Registry Substudy. Biology, 11(4), 615.
14. Diemberger, I., Segreti, L., Rinaldi, C. A., Svendsen, J. H., Kutarski, A., Younis, A., ... & ELECTRa Investigators. (2022). Transvenous Lead Extraction in Patients with Cardiac Implantable Device: The Impact of Systemic and Local Infection on Clinical Outcomes—An ESC-EHRA ELECTRa (European Lead Extraction Controlled) Registry Substudy. Biology, 11(4), 615.
15. Ravidà, A., Siqueira, R., Di Gianfilippo, R., Kaur, G., Giannobile, A., Galindo‐Moreno, P., ... & Wang, H. L. (2022). Prognostic factors associated with implant loss, disease progression or favorable outcomes after peri‐implantitis surgical therapy. Clinical Implant Dentistry and Related Research, 24(2), 222-232.
16. Wilson, S. K., & Picazo, A. L. L. (2022). Update on the Penuma® an FDA-cleared penile implant for aesthetic enhancement of the flaccid penis. International Journal of Impotence Research, 34(4), 369-374.
17. Sorrentino, F., Tealdo, G., Cazzador, D., Favaretto, N., Brotto, D., Montino, S., ... & Zanoletti, E. (2022). Cochlear implant in vestibular schwannomas: long-term outcomes and critical analysis of indications. European Archives of Oto-Rhino-Laryngology, 1-10.
18. Patel, S., Ghosh, A., Jindal, K., Kumar, V., Aggarwal, S., & Kumar, P. (2022). Spinopelvic fixation for vertically unstable AO type C pelvic fractures and sacral fractures with spinopelvic dissociation-A systematic review and pooled analysis involving 479 patients. Journal of Orthopaedics.
19. Schwarz, F., Obreja, K., Mayer, S., Ramanauskaite, A., Sader, R., & Parvini, P. (2022). Efficacy of autogenous tooth roots for a combined vertical and horizontal alveolar ridge augmentation and staged implant placement. A prospective controlled clinical study. Journal of Clinical Periodontology, 49(5), 496-505.
20. Chang, C. J., Huang, T. C., Hoshino, Y., Wang, C. H., Kuan, F. C., Su, W. R., & Hong, C. K. (2022). Functional outcomes and subsequent surgical procedures after arthroscopic suture versus screw fixation for ACL tibial avulsion fractures: a systematic review and meta-analysis. Orthopaedic Journal of Sports Medicine, 10(4), 23259671221085945.
21. Sun, Y., Helmholz, H., Will, O., Damm, T., Wiese, B., Luczak, M., ... & Willumeit-Römer, R. (2022). Dynamic in vivo monitoring of fracture healing process in response to magnesium implant with multimodal imaging: Pilot longitudinal study in a rat external fixation model. Biomaterials Science, 10(6), 1532-1543.
22. Stapińska-Syniec, A., Sobstyl, M., & Paskal, W. (2023). Skin-related complications following deep brain stimulation surgery: A single-center retrospective analysis of 525 patients who underwent DBS surgery. Clinical Neurology and Neurosurgery, 225, 107571.
23. van Sloten, M., Gómez-Junyent, J., Ferry, T., Rossi, N., Petersdorf, S., Lange, J., ... & ESCMID Study Group of Implant Associated Infections (ESGIAI). (2022). Should all patients with a culture-negative periprosthetic joint infection be treated with antibiotics? A multicentre observational study. The Bone & Joint Journal, 104(1), 183-188.
24. de Carvalho, L. F., de Carvalho, L. P., Sotto-Maior, B. S., Dias, A. L., Bezerra, F. J. B., Bergamo, E. T., & de Carvalho, A. M. (2022). Rehabilitation of Atrophic Maxilla With Immediate Loading of Extrasinus Zygomatic Implant. Journal of Craniofacial Surgery, 33(5), e488-e491.
25. Badin, D., Ortiz-Babilonia, C., Musharbash, F., & Jain, A. (2022). 100. Disparities in elective spine surgery for Medicaid beneficiaries: a systematic review. The Spine Journal, 22(9), S54-S55.
26. Groundland, J., Brown, J. M., Monument, M., Bernthal, N., Jones, K. B., & Randall, R. L. (2022). What Are the Long-term Surgical Outcomes of Compressive Endoprosthetic Osseointegration of the Femur with a Minimum 10-year Follow-up Period?. Clinical Orthopaedics and Related Research®, 480(3), 539-548.
27. Glicksman, C., McGuire, P., Kadin, M., Lawrence, M., Haws, M., Newby, J., ... & Wixtrom, R. (2022). Impact of capsulectomy type on post-explantation systemic symptom improvement: findings from the ASERF systemic symptoms in women-biospecimen analysis study: part 1. Aesthetic Surgery Journal, 42(7), 809-819.
28. Gramlich, Y., Hofmann, L., Kress, S., Ruckes, C., Kemmerer, M., Klug, A., ... & Kremer, M. (2022). Critically high metal ion levels found in metal-on-metal modular hinged knee arthroplasty: a comparison of two different systems. The Bone & Joint Journal, 104(3), 376-385.
29. Miseré, R. M., & van der Hulst, R. R. (2022). Self-reported health complaints in women undergoing explantation of breast implants. Aesthetic Surgery Journal, 42(2), 171-180.
30. Tan, E. S., Lee, J. Y., Boey, E., Soh, R., Sim, M. G., Yeo, W. T., ... & Kojodjojo, P. (2022). Use of extendable helix leads for conduction system pacing: Differences in lead handling and performance lead design impacts conduction system pacing. Journal of Cardiovascular Electrophysiology, 33(7), 1550-1557.
31. Patil, C., Agrawal, A., Abullais, S. S., Arora, S., Khateeb, S. U., & Fadul A. Elagib, M. (2022). Effectiveness of Different Chemotherapeutic Agents for Decontamination of Infected Dental Implant Surface: A Systematic Review. Antibiotics, 11(5), 593.
32. Zhu, W. Y., Guo, J., Yang, W. F., Tao, Z. Y., Lan, X., Wang, L., ... & Su, Y. X. (2022). Biodegradable magnesium implant enhances angiogenesis and alleviates medication-related osteonecrosis of the jaw in rats. Journal of Orthopaedic Translation, 33, 153-161.
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Jun 6, 2024
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1 Dr Hasnain Ali 2Dr Zofeen Aftab 3Afan Shamim 4Dr. Muhammad Umair Khan 5Dr Farnaz Ali 6Memoona Fareed 7Kashif Lodhi. (2024). An investigation to assess the implant removal for a variety of reasons. Journal of Population Therapeutics and Clinical Pharmacology, 31(6), 364-370. https://doi.org/10.53555/jptcp.v31i6.6533
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All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1 Dr Hasnain Ali 2Dr Zofeen Aftab 3Afan Shamim 4Dr. Muhammad Umair Khan 5Dr Farnaz Ali 6Memoona Fareed 7Kashif Lodhi. (2024). An investigation to assess the implant removal for a variety of reasons. Journal of Population Therapeutics and Clinical Pharmacology, 31(6), 364-370. https://doi.org/10.53555/jptcp.v31i6.6533