International Journal of Integrated Health Sciences
Vol 10, No 1 (2022)

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

Shadrina Affifa Azzahra (Medical Undergraduate Study Programs Fakultas Kedokteran Universitas Padjadjaran)
Raden Andri Primadhi (Department of Orthopaedics and Traumatology Universitas Padjadjaran Medical School)
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)



Article Info

Publish Date
21 Apr 2022

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.

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Journal Info

Abbrev

ijihs

Publisher

Subject

Health Professions

Description

International Journal of Integrated Health Sciences (IJIHS) is a peer-review journal which publishes original articles, medical research, clinical research and case report. This journal is supported by Faculty of Medicine Universitas Padjadjaran and was launched on September 22nd 2012 and firstly ...