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Orthopedic Hardware removal protocol....suggestions / recommendations for pre-operative evaluation for removal.

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I am looking for practice suggestions / standard of care for orthopedic hardware removal.

At my community hospital we have several orthopedic surgeons who remove spinal hardware frequently and about 90 percent of the time it goes smoothly, sometimes they have to break a screw shaft or a rod, but that is somewhat rare.

The spinal hardware that comes out is pretty consistent and there is little variation may times, usually rods / screws / sometimes a clamp / and bolt type washer screws...

Orthopedic Hardware removal protocol....suggestions / recommendations for pre-operative evaluation for removal.

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