Indications and complications in relation to removal of clavicle implants.

INTRODUCTION

Implant-related discomfort (soft-tissue irritation, pain and cosmetics) is often seen in patients with surgically treated clavicle fracture. The aim of this study was to investigate indications, complications, functionality and patient satisfaction following implant removal of surgically treated clavicle fractures.

METHODS

A total of 97 patients (73 males, mean age 43 years) had a clavicle plate removed at our department between 2007 and 2014. A purpose-made questionnaire was used to assess self-perception of cause of implant removal, remission, complications and overall satisfaction. Functionality was assessed using the Quick DASH score.

RESULTS

Two patients died before follow-up and were excluded. Five different indications for implant removal were found. A total of 65/95 of the patients answered the purpose-made questionnaire; 50/65 reported satisfaction and 14/65 had a complication following the removal of their implant. The mean QuickDASH score was 7 (range: 0-91). Only 18/36 of those with pain and soft tissue irritation due to a clavicle plate had complete remission after implant removal.

CONCLUSIONS

The indications for clavicle plate removal are many and mainly subjective. Implant removal in patients following surgically treated clavicle fractures generally causes very few complications, and most patients seem to experience a positive effect. However, it is important to inform the patient of the risk of no remission or even a worsening, which is not an uncommon occurrence.

FUNDING: none.

TRIAL REGISTRATION: not relevant.