Abstract：
OBJECTIVE: To analyze our patient\'s complication profile and rate after removal of hardware (ROH) surgery, and survey our patients to ask their overall status and improvement in symptomatology post-operatively.
METHODS: Retrospective chart review and survey.
METHODS: Academic, tertiary referral center.
METHODS: 173 patients with 314 pieces of hardware. Seventy-six patients (43.9%) responded to our survey.
METHODS: ROH surgery.
METHODS: Patient demographics and complications were recorded. All patients were sent a brief 3-question survey which asked: (1) Why did you get your hardware removed? (2) How did your overall status change after ROH? (3) How did the ROH affect your stiffness, pain, swelling, and mobility?
RESULTS: There were 10 complications (5.5%): 5 infections, 2 with unresolved pain, 1 hematoma, 1 chronic regional pain syndrome exacerbation, and 1 recurrent deformity. All infections were treated with oral antibiotics and improved. All other complications resolved with treatment except for the patient who developed recurrent deformity. Patients underwent ROH surgery because their doctor suggested it (76.3%) and to improve mobility (39.5%). 86.9% reported their overall status improved after ROH. They improved regarding stiffness (73.7%), pain (73.6%), swelling (61.8%), and mobility (76.3%). Similar results were seen among different implants removed.
CONCLUSIONS: The majority of patients who underwent percutaneous ROH were satisfied. They reported improvement in stiffness, pain, swelling and mobility (greatest improvement). The complication rate was low (5.5%). ROH can be a meaningful operation to patients allowing them to improve their quality of life with a low complication rate.
METHODS: Level IV.
METHODS: Retrospective chart review and survey.
METHODS: Academic, tertiary referral center.
METHODS: 173 patients with 314 pieces of hardware. Seventy-six patients (43.9%) responded to our survey.
METHODS: ROH surgery.
METHODS: Patient demographics and complications were recorded. All patients were sent a brief 3-question survey which asked: (1) Why did you get your hardware removed? (2) How did your overall status change after ROH? (3) How did the ROH affect your stiffness, pain, swelling, and mobility?
RESULTS: There were 10 complications (5.5%): 5 infections, 2 with unresolved pain, 1 hematoma, 1 chronic regional pain syndrome exacerbation, and 1 recurrent deformity. All infections were treated with oral antibiotics and improved. All other complications resolved with treatment except for the patient who developed recurrent deformity. Patients underwent ROH surgery because their doctor suggested it (76.3%) and to improve mobility (39.5%). 86.9% reported their overall status improved after ROH. They improved regarding stiffness (73.7%), pain (73.6%), swelling (61.8%), and mobility (76.3%). Similar results were seen among different implants removed.
CONCLUSIONS: The majority of patients who underwent percutaneous ROH were satisfied. They reported improvement in stiffness, pain, swelling and mobility (greatest improvement). The complication rate was low (5.5%). ROH can be a meaningful operation to patients allowing them to improve their quality of life with a low complication rate.
METHODS: Level IV.
摘要：
目的：分析我们的病人的并发症情况和手术切除硬件（ROH）后的发生率，并调查我们的患者，询问他们的总体状况和术后症状的改善情况。
方法：回顾性图表回顾和调查。
方法：学术，三级转诊中心。
方法：173例患者，314件硬件。76名患者（43.9%）回答了我们的调查。
方法：ROH手术。
方法：记录患者的人口统计学和并发症。向所有患者发送了简短的3个问题调查，其中询问：（1）您为什么要删除硬件？（2）ROH后您的整体状态如何变化？（3）ROH如何影响您的刚度，疼痛,肿胀,和流动性？
结果：有10种并发症（5.5％）：5种感染，2与未解决的疼痛，1血肿，1慢性区域性疼痛综合征加重，1例复发性畸形。所有感染均口服抗生素治疗并得到改善。除复发性畸形患者外，所有其他并发症均通过治疗解决。患者接受ROH手术是因为他们的医生建议（76.3％）和改善活动性（39.5％）。86.9%的人报告他们在ROH后总体状况有所改善。它们在刚度方面有所改善(73.7%)，疼痛（73.6%），肿胀（61.8%），和流动性（76.3%）。在移除的不同植入物中观察到类似的结果。
结论：大多数接受经皮ROH的患者满意。他们报告说刚度有所改善，疼痛,肿胀和流动性（最大的改善）。并发症发生率低(5.5%)。ROH可以是对患者有意义的手术，使他们能够以低并发症发生率改善生活质量。
方法：四级。
方法：回顾性图表回顾和调查。
方法：学术，三级转诊中心。
方法：173例患者，314件硬件。76名患者（43.9%）回答了我们的调查。
方法：ROH手术。
方法：记录患者的人口统计学和并发症。向所有患者发送了简短的3个问题调查，其中询问：（1）您为什么要删除硬件？（2）ROH后您的整体状态如何变化？（3）ROH如何影响您的刚度，疼痛,肿胀,和流动性？
结果：有10种并发症（5.5％）：5种感染，2与未解决的疼痛，1血肿，1慢性区域性疼痛综合征加重，1例复发性畸形。所有感染均口服抗生素治疗并得到改善。除复发性畸形患者外，所有其他并发症均通过治疗解决。患者接受ROH手术是因为他们的医生建议（76.3％）和改善活动性（39.5％）。86.9%的人报告他们在ROH后总体状况有所改善。它们在刚度方面有所改善(73.7%)，疼痛（73.6%），肿胀（61.8%），和流动性（76.3%）。在移除的不同植入物中观察到类似的结果。
结论：大多数接受经皮ROH的患者满意。他们报告说刚度有所改善，疼痛,肿胀和流动性（最大的改善）。并发症发生率低(5.5%)。ROH可以是对患者有意义的手术，使他们能够以低并发症发生率改善生活质量。
方法：四级。
