Sobhani M R, Abrisham S M J, Jahanbakhti H, Pahlavanhossein H, Shokraneh S. Studying outcomes of hardware removal in patients admitted to Yazd Shahid Sadoughi Hospital from April 2010 to May 2015. JSSU 2018; 26 (4) :355-362
URL:
http://jssu.ssu.ac.ir/article-1-4285-en.html
Abstract: (2840 Views)
Introdution: Nowadays, the use of internal fixation in the field of orthopedics is increasing. On the other hand, there is no clear criteria at hand on removal of orthopedic implants, and there is disagreement among orthopedic surgeons on the necessity of routine removal of orthopedic implants in all patients after the healing of the fracture, and many surgeons take a personal approach towards the issue. Therefore, this study was conducted with the purpose of examining the result of hardware removal in patients admitted to Yazd’s Shahid Sadoughi Hospital.
Methods: This study was a descriptive cross-sectional one, in which the patients were examined based on some factors, including age, gender, height, weight, BMI, location of the fracture and the mechanism of injury, degree of satisfaction, degree of activity, degree of pain, the reason for removal of the implant and the quality of life, using the SF-36 questionnaire.
Results The mean quality of life score in the patients before the surgery was 81.41. After the surgery the score reached to the number of 87.23 (P-value = 0.0001), which was a significant improvement in the quality of life of the patients after the removal of the implant. In addition, the findings showed a significant reduction in pain after the surgery (p-value=0/0001).
Conclusion: Noting that there is a disagreement on the subject of routine removal of orthopedic implants, the results of this study showed that most patients desired the removal of the implant. based on the improvement of pain score and quality of life score after the surgery, by considering the side effects, removal of the implant seems beneficial and leads to improved the quality of life, increased pain and an improve in patient daily activity and performance.
Type of Study:
Original article |
Subject:
Surgery Received: 2017/08/14 | Accepted: 2017/12/30 | Published: 2018/09/15