Outcome of implant removal in government tertiary care hospital.

INTRODUCTION: After the union of fracture, implant removal becomes a common elective orthopaedic procedure . The benefits of implant removal have not been sufficiently proven .So in our study we like to determine the outcome for implant removal in varies conditions and complications associated with it after removal of implants MATERIALS & METHODS:This is a descriptive study of all cases of implant removal at the Orthopaedic Department of Mandya Institute of Medical Sciences, Mandya, Karnataka, India, from October 2020 to September 2021. Relevant information of patients were extracted and analyzed RESULTS: Study included 68 patients, there are 49 males, 19 females with male to female ratio of 2.57. Peak age group is < 15 years with mean age group of 32.5 years. Forearm(25%) is the most common site for implant removal . Plates and screws 21(31%) is the most common implant. Patient request 29(43%) is the most common indication followed by surgeon request 18 (26%) prominent hardware 14(20%) and infection 7(11%). About 40 percent of implants were removed after 24 months. Incomplete removal was the most common complication about 50% of complication followed by tissue damage(30%), infection (20%), nerve injury(10%) .85 percent of patients were fully satisfied. CONCLUSION: Implant removal is relatively safe surgery with high patient satisfaction. To enhance the satisfaction of implant removal surgery it is imperative to have implant removal specific equipments with counselling of patients and to manage potential complications. The definitive relation between psychological factors, satisfaction and physiological improvement needs further investigations. [ABSTRACT FROM AUTHOR]