Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Feb 18, 2024; 15(2): 139-146
Published online Feb 18, 2024. doi: 10.5312/wjo.v15.i2.139
Burden of routine orthopedic implant removal a single center retrospective study
Ammar K AlOmran, Nader Alosaimi, Ahmed A Alshaikhi, Omar M Bakhurji, Khalid J Alzahrani, Basil Ziyad Salloot, Tamim Omar Alabduladhem, Ahmed I AlMulhim, Arwa Alumran
Ammar K AlOmran, Nader Alosaimi, Ahmed A Alshaikhi, Omar M Bakhurji, Khalid J Alzahrani, Basil Ziyad Salloot, Tamim Omar Alabduladhem, Ahmed I AlMulhim, Department of Orthopedic, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi Arabia
Arwa Alumran, Health Information Management and Technology Department, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi Arabia
Author contributions: AlOmran AK, Alosaimi N contributed to the concept; Alshaikhi AA, Bakhurji OM contributed to design; Alzahrani KJ, Salloot BZ, Alabduladhem TO, AlMulhim AI contributed to study execution; AlOmran AK, Alosaimi N, Alshaikhi AA, Bakhurji OM, Alzahrani KJ, Salloot BZ, Alabduladhem TO, AlMulhim A contributed to manuscript writing and review; Alumran A contributed to statistical analysis.
Institutional review board statement: Ethical approval was obtained from the Institutional Review Board of Imam Abdulrahman bin Faisal University following the ethical requirements of the Declaration of Helsinki (IRB number: IRB-UGS-2022-01-396).
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All authors have no conflict of interests.
Data sharing statement: Raw data and materials are available as needed.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ahmed I AlMulhim, MBBS, MD, Surgeon, Department of Orthopedic, College of Medicine, Imam Abdulrahman Bin Faisal University, King Faisal Ibn Abdulaziz Road, Dammam 31441, Saudi Arabia. ahlmulhim@iau.edu.sa
Received: November 17, 2023
Peer-review started: November 17, 2023
First decision: December 7, 2023
Revised: December 18, 2023
Accepted: January 9, 2024
Article in press: January 9, 2024
Published online: February 18, 2024
ARTICLE HIGHLIGHTS
Research background

Elective removal of asymptomatic implants remains a controversial area, with no defined guidelines to direct this orthopedic practice. Hence, placing a considerable clinical and economic burden on both patients and healthcare systems.

Research motivation

Little data is known regarding routine orthopedic implant removal in the literature, particularly in the Middle East.

Research objectives

The objective of this study is to measure the burden of routine implant removal on both patients’ health and hospital facilities.

Research methods

A retrospective cohort study was conducted at a single tertiary center between February 2016 and August 2022 and included participants across all age groups who underwent asymptomatic implant removal in the orthopedic department. Participant’s demographic and clinical data were retrieved from the electronic record system and statistically analyzed via Statistical Package for the Social Sciences version 25.

Research results

Complications were observed in 6% of the patients in our study, and sick leave was given in 34.1% of all cases. In 56% of cases, a single day in the hospital was necessary, whereas 44% required more than one day. These findings will shed light on this obscure area of literature, encouraging scholars to do further investigation in this area.

Research conclusions

In conclusion, this study proposes that routine implant removal places a heavy load on patients and healthcare facilities.

Research perspectives

More prospective multi-center studies with larger sample sizes are needed to investigate further the impact of elective implant removal on patients and hospitals.