Is an implant removal after dorsal plating of XXXX always needed?

@entity1 @entity174 @entity13316 @entity158 @entity702
PURPOSE: The purpose of this study was to evaluate the need for an implant removal and the frequency of hardware related complications in a group of distal radius fractures treated with dorsal double plating. METHODS: This retrospective study analyzed data from 37 @entity1 in whom @entity174 surgery was performed through single dorsal approach with two low profile @entity702 plates during a  period of 5 years. Objective and subjective parameters were evaluated, focusing on detection of potentially harmful complications and the need of hardware removal during the follow up at least 12 months after the surgery. RESULTS: 37 @entity1 with @entity174 treated by dorsal double plating were included in this study. 19 @entity1 had their implant removed and 18 @entity1 had their implant retained. There was no statistical difference between these groups in respect to age, @entity174 type, incidence of associated @entity13316 , hand dominance, gender and Mayo wrist score. Only subjective parameters including the average value of the Quick Disabilities of Arm, Hand, and Shoulder Questionnaire and the Visual Analogue Scale were higher in the group of @entity1 requiring implant removal with a statistically significant difference. CONCLUSION: Our results suggested that only symptomatic hardware should be removed. A decreased range of motion and extensor tendon problems are the most frequent complication, that necessitate plate removal. The main indicator of implant related soft tissue problems was the dorsal wrist @entity158 (Tab. 1, Fig. 3, Ref. 36).
