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

Aug 22, 2024 Source: Cainiu Health
Disease description:

The calcaneus is fractured and requires surgical treatment. How long after the surgery can the steel plate be removed?

Doctor's answer (1)
Dr. Chen Jian

Internal fixation plates can typically be removed after the fracture has fully achieved bony healing. For most patients, fracture healing generally takes about 8 to 12 weeks, after which gradual functional training is still required. To achieve full recovery and reach the stage where the plates can be removed, it usually takes more than 4 to 6 months, and sometimes even longer.

The decision to remove internal fixation devices is not determined solely by time; the following factors should also be considered:

1. Pain: If the internal fixation causes persistent pain or discomfort, removal may need to be considered earlier.

2. Risk of infection: If there are signs of infection at the site of the internal fixation, it should be addressed promptly, and removal may be necessary to prevent the spread of infection.

3. Functional recovery: When the patient has achieved the expected functional improvement and no longer requires the support provided by the internal fixation, removal can be considered.

4. Personal preference: Some patients may wish to have the internal fixation removed earlier due to occupational, athletic, or other personal reasons. In such cases, adequate communication with the physician is necessary.