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Outcomes analysis after routine removal of implants in healthy pediatric patients
Alice Chu1, Maura R Z Madou, Debra A Sala
1Pediatric Orthopaedic Surgery, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, USA. alice.chu@nyumc.org
Abstract:
Routine removal of nonspinal, orthopedic implants from pediatric patients is a debated practice. The purpose of this study was to compare preremoval and postremoval outcome measures in children. Twenty-five patients, mean age 11.6 years, completed a pain scale and the Pediatric Outcomes Data Collection Instrument (PODCI). Many patients scored in the normal range of the PODCI before and after removal. Higher postoperative PODCI scores were found in patients without preoperative pain, and in patients with upper extremity versus lower extremity implants. In summary, routine removal of implants in children was carried out without complications and with some functional benefits.