The Incidence and Indications for removal of Osteosynthesis Devices in Adult Trauma Patients: A Retrospective Study | [Annals of the Pakistan Institute of Medical Sciences • 2012]

Author(s):

1. Zahoor Ahmed Rana: Oral and Maxillofacial Surgery, Quaid-e-Azam Postgraduate Medical College, PIMS, Islamabad, Pakistan

2. Noor Ahmed Khoso: Oral Pathology, Liaqat University of Health and Medical Sciences, Hyderabad, Pakistan

3. Khalid Mahmood Siddiqi: Oral and Maxillofacial Surgery, Islamabad Medical & Dental College, Bahria University, Islamabad, Pakistan

4. Omar Arshad: Oral and Maxillofacial Surgery, Multan Medical & Dental College, Multan, Pakistan

5. Muhammad Umar Farooq: Oral and Maxillofacial Surgery, Quaid-e-Azam Postgraduate Medical College, PIMS, Islamabad, Pakistan

Abstract:

Objective: The aim of this retrospective study was to assess the incidence and indications for the removal of bone plates. Materials and Methods: The medical records of all patients who underwent removal of bone plates after facial bone trauma were reviewed over a 5-year period. Data concerning age and gender distribution, cause of trauma, time between insertion and removal, indications and site of removal were evaluated for each patient. Results: During the study period, 861 cases underwent open reduction and internal fixation using bone plates and screws. In 51 cases bone plates were removed (46 males and 5 females) with an overall removal rate of 5.9%. The most common indication for removal was infection (51%) followed by pain (23.5%). The mandible was the most common site of removal (60.8%). Most of the plates (90%) were removed within the first year after insertion. Conclusions: Infection was seen to be the most prevalent etiological factor indicating removal. The majority of the cases warranting plate removal were the elderly having comorbid conditions. Removal of plates are more likely to occur within the first year of insertion, effect that should be taken into consideration during the process of obtaining informed consent.

Page(s): 184-187

DOI: DOI not available

Published: Journal: Annals of the Pakistan Institute of Medical Sciences, Volume: 8, Issue: 3, Year: 2012

Keywords:

Plate removal , maxillofacial implants , screws removal , PIMS

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