Implant Remova And Stress Protection

Question 1

Absolute indications to remove metallic implants after healed fracture (3)

Answer 1

Fractured or loose plates and screws
Infection
Penetration of harware to soft tissue

Question 2

Relative indications for implant removal (4)

Answer 2

Potential interference of implants with additional surgical interventions (sinus ORs in midface fractures, bone augmentation procedures, dental rehabilitation i. E. Implants)

Palpable/Visible plates
Sensitivity to cold
Other disturbances

Question 3

T or F: removal of metallic implants is recommended in children with healed fx

Answer 3

T: *expanding and growing bones have a tendency to overgrow metallic implants leading to a relative change in position of implant

I. E. Plate migration

May also have negative impact on bone growth