How long after calcaneal fracture surgery should the plate be removed?

Mar 08, 2021 Source: Cainiu Health
Disease description:

I previously experienced severe pain in my calcaneus (heel bone), and after examination, I underwent fracture surgery. Doctor, how long after calcaneal fracture surgery should the internal fixation plate be removed?

Doctor's answer (1)
Dr. Wang Zhuo
Hello, for patients with calcaneal fractures, the plate is typically removed only after the bone has fully healed—usually about one year post-fracture—because by then the fracture site has become relatively stable and is more suitable for plate removal. Whether plate removal is appropriate for a specific patient depends primarily on follow-up imaging. If radiographic examination shows complete disappearance of the fracture line—indicating bony union—and trabecular bone continuity across the fracture site, plate removal may be considered. Conversely, if these criteria are not met, further waiting is required. Additionally, during plate removal for calcaneal fractures, meticulous skin protection is essential. The most concerning complication associated with plate removal in such cases is skin necrosis, which can significantly worsen the clinical situation. We hope the above information is helpful to you. Wishing you good health and happiness!