Indications and Complications of Orthopedic Hardware Removal in an Indonesian Tertiary Hospital: A Descriptive Study
Objective: To acquire clinical data regarding indications of implant removal and complications in orthopedic metal implant removal. Methods: This was a cross-sectional observational descriptive study using patient medical records. The inclusion criterion was all patients who underwent orthopedic m...
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| Format: | Article |
| Language: | English |
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Universitas Padjadjaran
2022-04-01
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| Series: | International Journal of Integrated Health Sciences |
| Subjects: | |
| Online Access: | http://journal.fk.unpad.ac.id/index.php/ijihs/article/view/2695 |
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| author | Shadrina Affifa Azzahra Raden Andri Primadhi Titing Nurhayati Muhammad Naseh Sajadi Achadiyani Achadiyani |
| author_facet | Shadrina Affifa Azzahra Raden Andri Primadhi Titing Nurhayati Muhammad Naseh Sajadi Achadiyani Achadiyani |
| author_sort | Shadrina Affifa Azzahra |
| collection | DOAJ |
| description | Objective: To acquire clinical data regarding indications of implant removal and complications in orthopedic metal implant removal.
Methods: This was a cross-sectional observational descriptive study using patient medical records. The inclusion criterion was all patients who underwent orthopedic metal implant removal during 2018-2020 while the exclusion criterion was unintentional implant removal due to subsequent injury or loosening. Data regarding anatomic regions, indications, and complications were collected and presented in tables.
Results: In 112 patients participated in this study consisting of 75 (67%) men and 37 (33%) women, the implants were mainly located in thigh, lower leg, and ankle (53% combined). The most common indication for metal implant removal was conversion (31%), followed by infection (25%) and patient's request (20%). The only complication observed in orthopedic metal implant removal in this study was disturbed wound healing in a small percentage of the patients (16%). Most patients (84%) did not experience any complication due to metal implant removal.
Conclusions: Indications for metal implant removal may vary, with or without symptoms. Disturbed wound healing is a complication observed in metal implant removal. Despite the advantages of removal, further analysis and guidelines are needed to avoid unnecessary hardware removal considering the risk of complications. |
| first_indexed | 2024-04-13T21:25:25Z |
| format | Article |
| id | doaj.art-d8ece26f261a4730a3b77d227d61d785 |
| institution | Directory Open Access Journal |
| issn | 2302-1381 2338-4506 |
| language | English |
| last_indexed | 2024-04-13T21:25:25Z |
| publishDate | 2022-04-01 |
| publisher | Universitas Padjadjaran |
| record_format | Article |
| series | International Journal of Integrated Health Sciences |
| spelling | doaj.art-d8ece26f261a4730a3b77d227d61d7852022-12-22T02:29:21ZengUniversitas PadjadjaranInternational Journal of Integrated Health Sciences2302-13812338-45062022-04-0110110.15850/ijihs.v10n1.26951449Indications and Complications of Orthopedic Hardware Removal in an Indonesian Tertiary Hospital: A Descriptive StudyShadrina Affifa Azzahra0Raden Andri Primadhi1Titing Nurhayati2Muhammad Naseh Sajadi3Achadiyani Achadiyani4Medical Undergraduate Study Programs Fakultas Kedokteran Universitas PadjadjaranDepartment of Orthopaedics and Traumatology Universitas Padjadjaran Medical SchoolDepartment of Basic Medical Sciences, Universitas Padjadjaran Medical SchoolDepartment of Orthopaedics and Traumatology Universitas Padjadjaran Medical SchoolDepartment of Basic Medical Sciences, Universitas Padjadjaran Medical SchoolObjective: To acquire clinical data regarding indications of implant removal and complications in orthopedic metal implant removal. Methods: This was a cross-sectional observational descriptive study using patient medical records. The inclusion criterion was all patients who underwent orthopedic metal implant removal during 2018-2020 while the exclusion criterion was unintentional implant removal due to subsequent injury or loosening. Data regarding anatomic regions, indications, and complications were collected and presented in tables. Results: In 112 patients participated in this study consisting of 75 (67%) men and 37 (33%) women, the implants were mainly located in thigh, lower leg, and ankle (53% combined). The most common indication for metal implant removal was conversion (31%), followed by infection (25%) and patient's request (20%). The only complication observed in orthopedic metal implant removal in this study was disturbed wound healing in a small percentage of the patients (16%). Most patients (84%) did not experience any complication due to metal implant removal. Conclusions: Indications for metal implant removal may vary, with or without symptoms. Disturbed wound healing is a complication observed in metal implant removal. Despite the advantages of removal, further analysis and guidelines are needed to avoid unnecessary hardware removal considering the risk of complications.http://journal.fk.unpad.ac.id/index.php/ijihs/article/view/2695complicationhardwareindicationremoval |
| spellingShingle | Shadrina Affifa Azzahra Raden Andri Primadhi Titing Nurhayati Muhammad Naseh Sajadi Achadiyani Achadiyani Indications and Complications of Orthopedic Hardware Removal in an Indonesian Tertiary Hospital: A Descriptive Study International Journal of Integrated Health Sciences complication hardware indication removal |
| title | Indications and Complications of Orthopedic Hardware Removal in an Indonesian Tertiary Hospital: A Descriptive Study |
| title_full | Indications and Complications of Orthopedic Hardware Removal in an Indonesian Tertiary Hospital: A Descriptive Study |
| title_fullStr | Indications and Complications of Orthopedic Hardware Removal in an Indonesian Tertiary Hospital: A Descriptive Study |
| title_full_unstemmed | Indications and Complications of Orthopedic Hardware Removal in an Indonesian Tertiary Hospital: A Descriptive Study |
| title_short | Indications and Complications of Orthopedic Hardware Removal in an Indonesian Tertiary Hospital: A Descriptive Study |
| title_sort | indications and complications of orthopedic hardware removal in an indonesian tertiary hospital a descriptive study |
| topic | complication hardware indication removal |
| url | http://journal.fk.unpad.ac.id/index.php/ijihs/article/view/2695 |
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