🦶 Should You Always Remove Metal Implants a Year After Foot Fracture Surgery?

by Son’s Rehabilitation Medicine & Chiropractic Clinic in Seoul

Many patients wonder whether metal implants—such as pins, screws, or plates—must be removed after foot fracture surgery, especially once a year has passed. The short answer is: not necessarily.

The decision to remove implants depends on the patient's symptoms, the location of the implant, and any complications that may arise.

Here’s a clear breakdown to help you understand when removal may be necessary and when it’s safe to leave the metal in place.

✅ When Removal May Be Necessary

  • Persistent pain or discomfort
    If the implant causes irritation to nearby soft tissues, nerves, or skin—leading to pain or discomfort—removal can be considered.

  • Prominence or pressure on the skin
    In areas where the skin is thin (like the top of the foot or near the ankle bones), metal parts may become prominent, causing pressure, skin inflammation, or even recurring wounds.

  • Loosening or breakage of the hardware
    If the implant becomes loose or breaks, or if bone healing is incomplete and the implant moves, removal is often recommended.

  • Implants near a child’s growth plate
    In growing children and teens, implants near growth plates can interfere with development and are usually removed within a year.

  • Frequent MRI needs
    While most orthopedic implants are MRI-compatible, in rare cases where imaging is repeatedly required, removal might be considered.

❌ When Removal is Not Required

  • No symptoms and full function
    If you have no pain or limitation in daily life, there’s usually no need to remove the implant—even permanently.

  • Elderly or medically vulnerable patients
    In older adults or those with underlying health conditions, leaving the implant in place is often safer than undergoing another surgery.

  • Surgical risks involved
    Implant removal requires another incision and carries potential risks such as bleeding, infection, or even refracture.

⏱️ General Timeline

  • Adults: Implant removal is sometimes considered around 12 months after surgery, once the bone is fully healed and symptoms justify it.

  • Children/Teens: Removal is often done within 6 to 12 months to prevent interference with bone growth.

🔍 Summary

“Just because a year has passed since your foot fracture surgery doesn’t mean metal implants must be removed.”

Every case is unique. Always consult your specialist to determine whether removal is necessary based on your specific condition.

👍Consultation and Appointment Information

Son PMR & Chiropractic Clinic( 2nd floor, 229-1 Gucheonmyun-Ro, Gangdongu, Seoul, South Korea) 

by  Dr Son MD & DC 
Contact: 02-482-8875 in Seoul( +82-2-482-8875)

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