Treatments:

Metalwork Removal

Post-orthopaedic elective surgery

After orthopedic surgeries (fracture repairs, spinal fusions, joint replacements), metal implants such as screws, plates, or rods are often used to stabilize bones as they heal.

While these implants are typically left in place, some clients may choose or require removal due to various reasons.

Reasons for removal:

Pain or discomfort

Persistent irritation around the metalwork site.

Infection

In rare cases, metal implants can cause infections.

Allergic reactions

Sensitivity to the materials in the implants.

Mechanical failure

Loosening, breaking, or shifting of the metal.

Improved mobility or function

In some cases, removing the implants may enhance mobility or alleviate stiffness.

It’s essential to have clear communication with clients about their motivations for metalwork removal, the steps involved, and the potential outcomes. Clients should be encouraged to weigh the benefits against the risks and ensure that they are physically and mentally prepared for the procedure and its aftermath.
By offering a comprehensive understanding of the procedure, risks, and recovery process, medical rehabilitation agencies can help clients make informed decisions and achieve the best possible outcome from metalwork removal surgery

Step 01.

Preoperative Assessment:

Clients meet with an orthopedic surgeon or physician to assess the need for removal. This may involve X-rays, MRIs, or CT scans to determine the position of the metalwork and ensure proper healing of the underlying bone.

The decision for removal depends on the severity of symptoms and potential risks. If the metal is not causing discomfort or complications, it may be safer to leave it in place.

Step 02.

Surgical Procedure:

Anesthesia: The procedure is generally performed under general anesthesia, although local anesthesia may be used for minor removals.

Incision: The surgeon makes an incision over the site of the metalwork.

Metal Removal: Depending on the complexity of the implant, screws, plates, or rods are carefully removed. This can be more challenging than the initial placement due to bone growth or scarring around the metalwork.

Closure: The incision is closed with sutures, and a dressing is applied.

Duration of Surgery: The length of the surgery depends on the type and location of the metalwork, but it generally lasts between 30 minutes to a few hours.

Step 03.

Aftercare:

Hospital Stay: Depending on the complexity of the surgery, clients may stay in the hospital for a few hours to a couple of days.

Pain Management: Pain, swelling, or discomfort is common after surgery. Clients will typically receive medications such as pain relievers (e.g., paracetamol, NSAIDs) and, if needed, stronger analgesics for short-term use.

Wound Care: Clients are provided with instructions on how to keep the surgical site clean and dry. Dressings may be changed after a few days, and sutures or staples are usually removed after 1–2 weeks.

Step 04.

Recovery:

In some cases, clients may need to rest the affected limb or joint for a period, especially if the bone was weakened or re-injured during removal. Early movement is essential for recovery, and clients will often be referred to a physiotherapist for rehabilitation. Exercises to restore strength, flexibility, and mobility are key to regaining full function. Light activities can typically be resumed after a few days, while more strenuous exercises or sports may require several weeks to months. Regular follow-up appointments with the surgeon are necessary to monitor the healing process and ensure no complications arise.

Clinical excellence & oversight.

Clinical excellence comes first. Your client = Our patient.

Across all three sister companies (CitiMedical, Prime Rehabilitation and ThinkMind) we maintain the highest standard of patient care. This is characterized by the best evidence-based practice, continuous improvement, patient-centered approaches, and multidisciplinary teamwork.