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Implant removal in children.

P P Schmittenbecher1

  • 1Department of Pediatric Surgery, Municipal Hospital, Moltkestraße 90, 76133, Karlsruhe, Germany. peter.schmittenbecher@klinikum-karlsruhe.de.

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
|January 28, 2016
PubMed
Summary

Routine implant removal in children is debated. Decisions should weigh individual benefits against risks, as evidence for or against routine removal is lacking.

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Area of Science:

  • Pediatric Orthopedics
  • Surgical Procedures
  • Biomaterials

Background:

  • Implant removal in children is a common procedure.
  • Theoretical risks include growth disturbance, infection, and implant migration.
  • Concerns about removal complications and difficulty also exist.

Purpose of the Study:

  • To review current practices and literature on pediatric implant removal.
  • To evaluate the arguments for and against routine implant removal in children.

Main Methods:

  • Review of current surgical procedures for implant removal in children.
  • Literature search on the topic of pediatric implant removal.

Main Results:

  • No clear recommendation exists for routine implant removal.
  • K-wires and intramedullary nails are typically removed.
  • Screws and plates may be retained if asymptomatic; external fixator removal is standard.

Conclusions:

  • Implant removal decisions must be individualized.
  • Benefits of removal must outweigh risks and complications.
  • The procedure should not be more extensive than insertion.
Keywords:
ChildComplicationImplant removalImplant retainment

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