Removal of implant from finger or hand
CPT4 code
Name of the Procedure:
Removal of Implant from Finger or Hand
Also known as: Implant Extraction, Hardware Removal
Summary
In this procedure, a surgeon removes a previously implanted medical device or hardware from a patient's finger or hand. Implants can include pins, plates, screws, or other devices that were previously placed to assist in healing fractures or other conditions.
Purpose
The procedure addresses conditions where the implant has fulfilled its purpose, or if it has caused complications such as pain, infection, or limited movement. The goal is to alleviate discomfort, reduce the risk of infection, and restore normal function.
Indications
- Persistent pain or discomfort in the area of the implant
- Infection at the implant site
- Allergy or adverse reaction to implant materials
- Implant failure or breakage
- Improved bone healing, making the implant no longer necessary
- Restricted motion due to the presence of the implant
Preparation
- Follow your doctor's instructions regarding fasting, usually starting 8 hours before the procedure.
- Adjust or discontinue certain medications as advised by your healthcare provider.
- Pre-procedure imaging tests, such as X-rays or MRI, to assess the position and condition of the implant.
Procedure Description
- The patient is positioned on the operating table; the surgical area is sterilized.
- Anesthesia is administered, which may be local, regional, or general, depending on the case.
- The surgeon makes an incision over the site of the implant.
- Specialized tools are used to carefully remove the implant without damaging surrounding tissues.
- The incision is then closed using sutures or staples.
- A sterile dressing or bandage is applied to the site.
Duration
The procedure typically takes between 30 minutes to 1 hour, depending on the complexity and location of the implant.
Setting
The procedure is usually performed in a hospital operating room or an outpatient surgical center.
Personnel
- Orthopedic or hand surgeon
- Anesthesiologist or nurse anesthetist
- Surgical nurses or technicians
Risks and Complications
- Infection at the incision site
- Nerve or blood vessel damage
- Bleeding or hematoma
- Pain or discomfort during the recovery phase
- Scar tissue formation
- Incomplete removal of the implant requiring additional surgery
Benefits
- Relief from pain and discomfort
- Reduced risk of infection
- Improved hand and finger function
- Enhanced quality of life with restored mobility
Recovery
- Keep the surgical area clean and dry.
- Follow your doctor's instructions on wound care and any prescribed medications.
- Avoid heavy lifting or strenuous activities with the affected hand for several weeks.
- Attend follow-up appointments to monitor healing.
- Physical therapy may be recommended to restore function and strength.
Alternatives
- Conservative management with pain medications or anti-inflammatory drugs
- Observation without removal if the implant isn't causing significant issues
- Replacing the implant with a different type of hardware if necessary
Patient Experience
During the procedure, the patient will be under anesthesia and should not feel pain. Post-operatively, mild to moderate pain is expected, which can be managed with prescribed pain medications. Some swelling and bruising are normal. Full recovery can take several weeks to months, depending on the extent of the surgery and individual healing rates.