Bone Loss After Implant Removal.
Soumen Das De
✦ AI-curated · Sources linked
Case in brief
A patient with forearm trauma presented with a peri-prosthetic fracture after the removal of a long-standing radial shaft plate. The removal resulted in significant cortical bone loss, complicating fixation. Initial dual plating failed mechanically, leading to a staged revision. A second operation involved corrective osteotomy and allograft augmentation, successfully restoring bone alignment, stability, and function.
Diagnostic / clinical pearl
Clinicians should be aware that implant removal can lead to significant bone loss, complicating subsequent fracture management and requiring careful planning for reconstruction.
Why it matters
This case highlights the importance of considering biological preparation and staged interventions in complex orthopedic reconstructions following implant removal.