Bunion Surgery Myth #: Cant You Just Shave Off The Bump
Bunion Screw Removal of Left Foot
Bunions are actually rarely just an overgrowth of bone. In the strong majority of cases, there is misalignment of the bone that makes it stick out and become prominent. Therefore, just shaving the bump helps some, but comes with a high rate of recurrence.
Shaving the bunion bump can be an effective treatment for an older individual with a mild bunion deformity. But is rarely the right choice for most bunions.
Before The Surgery Talk To The Professional About All Possible Screw Related Issues
If youre worried about possible problems, you can talk to a specialist at LuxeFoot Surgery clinic. Just contact us to book your appointment, and were sure youll find all the answers. There is no need to worry about your recovery well make sure everything goes smoothly and that you dont experience any problems with bunion surgery screws. If something still occurs, youll get the proper treatment, and all the problems will be easily resolved.
Katie Price Spotted With Bandaged Foot She ‘learns To Walk Again’ After Surgery
Katie Price underwent surgery on her foot earlier this month, with the procedure said to have involved taking screws out – which had been inserted in response to her having ‘smashed’ her feet in 2020
Katie Price was spotted leaving the doctors just days ago with a bandage on her left foot, after undergoing surgery on it recently as part of her recovery from an old injury.
The reality TV star, 44, is understood to have undergone an operation earlier this month to remove metal work that had been inserted into her foot around two years ago.
She had “smashed” up her feet jumping over a wall whilst on holiday in 2020. Katie was confined to a wheelchair and unable to walk initially following the incident in Turkey.
The former glamour model had screws and metal plates fitted as part of treatment for such at the time. They are said to have been removed from her left foot this month.
Katie is now said to be “learning to walk again” following the latest procedure. She was spotted with a bandage on her foot last week whilst leaving the doctors.
She sported a white bandage on her left foot. She opted to wear a pair of open-toe sliders, which likely provided a bit more comfort than alternative footwear would have done.
It comes just days after she is believed to have undergone the procedure to remove metal work from her foot. She’s said to be awaiting more treatment on the other foot.
Do you enjoy reading about celebrities? Sign up for all the best celeb news from the Mirrorhere.
What Is The Surgery For Bunion Correction
The corrective surgery for bunion is known as a metatarsal osteotomy or bunionectomy. There are multiple techniques, but all involve cutting the bones and repositioning them with metal screws to straighten the big toe and reduce the bump on the side of the foot.
Traditionally, bunion surgery can be quite painful and involve a long recovery. However, some patients can benefit from newer, minimally invasive techniques that have significant advantages. Historically, these procedures have been performed through large incisions, but at HSS, I have perfected two special techniques to correct bunions through tiny incisions.
Do Bunions Grow Back After Surgery
The recurrence rate is about 20% over a patients lifetime. A mild bunion recurrence is well-tolerated by most patients. Significant bunion recurrences that cause problems and require further surgery are much less common. Recurrence may happen if the bunion isnt fully corrected at the time of surgery or if the wrong bunion procedure was used. It may also occur if patients dont follow the postoperative directions carefully. Overcorrection is also a risk, but much less common. Either recurrence or overcorrection may require a second operation .
Read Also: 50 Foot 12 Gauge Extension Cord
How Often Are Bunion Surgery Screws Used In Surgical Procedures
During foot surgery, its common to use screws to hold bones together. Several bones or bone pieces are intended to be held together with screws. Similar to how you would think of putting two wooden pieces together. And the first stages of bone healing happen once the bones are squeezed together.
After surgery, the patient can walk and engage in other weight-bearing activities because of the use of screws. The foot and ankle can strengthen again after a fracture thanks to the screws. And one of the most important things to have in mind is to find the best possible doctor because dealing with some screw problems can easily turn this non-invasive procedure into disaster and cause even bigger problems after bunion surgery.
Although the mechanics of connecting two pieces of wood together and inserting screws into your foot are the same, the screws in your foot after bunion surgery are constructed quite differently. The surgical screws are made from titanium or high-grade surgical stainless steel. And depending on the type of fracture, the sizes might range from 1.5 mm to 7.3 mm.
Painful Hardware After Foot Surgery
Surgical hardware like screws and plates are designed to spur healing and stabilize bones, but they dont always produced the intended effect. Inserting hardware is an imperfect science because everyone displaces stress differently on their feet, so what might work for one person may cause pain with another. The majority of people achieve great results and forget they even have hardware in their foot, but others arent so fortunate. Below, we take a look at what to do if youre experiencing pain with your surgical hardware after an operation.
Read Also: How To Wrap Ankle For Support
Why Do Surgeons Use Screws During Bunion Surgery
Researching minimally invasive surgery, patients can come across different surgical techniques. Surgeons prefer not using screws that will hold the bunion correction in only a few cases. However, the bunion has to be shifted back as it was, in the original position, and to do that, screws are surely needed. Also, they will ensure long-lasting correction without the possibility of the bunion coming back.
Besides using the screws to ensure the successful bunion correction, its also extremely important to fix the midfoot joint and prevent it from moving and possible bunion returning. Also, displacing the bone and keeping it in the right position is something that has to be done in the bunion correction. It will ensure that the bone is reformed, forming the right aligned toe.
What Happens Before Bunion Surgery
Arthrex Minimally Invasive Bunionectomy System Surgical Technique
Before surgery, you and your surgeon will discuss your health, activity levels and any other factors that could affect your recovery. Your surgeon will use this information to choose the best type of surgery for you. On the day of your appointment, your healthcare provider will ask you to arrive one to two hours early. Typically, surgeons perform bunion surgery with local anesthesia in addition to a light monitored anesthesia that will keep you comfortable during the procedure. Typically intubation and heavy anesthesia is not needed for this type of procedure.
Also Check: How To Heal Athlete’s Foot
What Happens If I Have Arthritis In My Joint
The nature of a bunion is not just a bump. As the bump increases in size, often the great toe pushes laterally toward the second toe. This is generally the moderate stage of the development of a bunion. As the joint continues to function out of alignment, the bunion deformity gets worse. Some bunion deformities worsen more rapidly than others, but they all get worse with time.
In more advanced stages, some patients also develop osteoarthritis The longer the joint is crooked and the longer the joint is mal-aligned, the greater the chance for the person to develop arthritis.
This x-ray on the left shows a foot with severe arthritis of the bunion joint , and less arthritis of the smaller toe joints. Notice how enlarged the bunion joint has become due to the extra bone growth around the joint.
Traditionally, arthritic joints were destroyed or fused.These are not good alternatives for an active person who puts great demand on their feet. Why destroy a joint if you can save it? For many patients with severe arthritic bunions, a bunionectomy with joint replacement can be used. An MP joint replacement is similar to a hip joint replacement. The results are generally excellent for reducing joint pain and allowing increased activity.Using surgical engineering, we are able to get the big toe joint to bend again, saving many such arthritic joints.
What Happens After Bunion Surgery
Bunion surgery is an outpatient procedure, meaning you can return home the same day. After surgery, you will wait in a recovery room for one to two hours until your surgeon determines you are safe to leave. You will have to ask someone to drive you home. During your recovery at home, your healthcare provider will instruct you to:
- Avoid putting weight on your big toe.
- Elevate your foot to reduce swelling.
- Keep your wound and bandages dry.
- Take pain medicines as prescribed.
During the first two weeks after surgery, you may need to ask someone to help you prepare meals or do household chores.
You May Like: Mens Pants With Zipper At Ankle
The Day Of The Operation
Bunion surgery is normally done as an out-patient, meaning you arrive at hospital a couple of hours before your surgery and are discharged later that day.
Surgery usually takes up to an hour and afterwards, you will be taken to the recovery room and monitored until your heart rate, blood pressure and breathing as well as the sensation and circulation in your foot are back to normal. This takes slightly longer if you have a general anaesthetic rather than an ankle block.
Your foot will be bandaged to hold the toes in the correct position with dressings in place to cover the wound and the stitches, or occasionally your foot may be in a cast. You will be given a special shoe to wear when you are walking for the first few weeks of bunion surgery recovery. These are nice and wide so there is no pressure through the foot, and often have a special wedge under the heel to help you not to put any weight through the front of your foot during the initial phase of bunion surgery recovery.
You can find out more about what happens during the operation in the bunion surgery section.
You may be givencrutches or a stick to help you get around your physical therapistwill teach you how to use these and how to safely get up and down thestairs before you are discharged.
Why University Foot And Ankle Institute Is The Best Choice For Bunion Surgery In California
The doctors at UFAI are thoroughly trained and highly skilled in all the effective ways to correct bunions.
If youre experiencing problems with bunions or with your feet in any way, were here to help. Our nationally recognized foot and ankle specialists offer the most advanced podiatric care with the highest success rates in the nation. We are leaders in the research and treatment of all foot and ankle conditions.
For more information or to schedule a consultation, please call 736-6001 or visit us here to make an appointment online.
Don’t Miss: Pain In Front Of Ankle And Top Of Foot
How Are Bunions Surgically Corrected
The basis for bunion surgery has classically been centered on the method with which surgeons use to realign the deviated bones. Bunionplasty® refers to the method with which the skin is handled to limit scarring for a more aesthetic result.
While hundreds of bunion surgery operations have been described, surgeons generally correct bunions using one of two methods to realign the malaligned bones they are bone cut or bone mending .
- Bone-cutting procedures involve creating a surgical break in the deviated metatarsal bone to realign only a portion of the bone. A variety of shaped cuts can be performed to treat varying sizes of bunions. Common surgical names for these procedures are Austin Bunionectomy, Scarf Bunionectomy, or Base Wedge Osteotomy. Dr. Blitz believes bone-cutting procedures are best for small or mild bunions.
- Bone-mending procedures realign the entire deviated bone at the root of the problem, where the deviation originates. The name of this procedure is called the Lapidus Bunionectomy. Dr. Blitz typically recommends the Lapidus procedure for patients with moderate, large, severe or recurrent bunions.
Bunion Surgery Recovery Key Points
Successful bunion surgery recovery is largely down to how well you follow your surgeons advice. If you try and do too much too soon, or start wearing inappropriate shoes too quickly, problems may arise.
To ensure successful bunion surgery recovery:
- Keep the foot elevated as much as possible
- Keep dressings in place and the area dry until the stitches are removed
- Keep walking to a minimum, wearing your special shoe and keeping all the weight through your heel for the first few weeks
- Do not wear high heels for at least six months
- Follow your exercise programme
Read Also: Pain From Lower Back To Foot
What To Expect During Osteotomy
A surgical operation to cut a bone is called an osteotomy. The bones lengthening, straightening, or shortening after being cut may occur unexpectedly during surgery or gradually after. The surgeon has two options for internal or external fixation after the osteotomy.
A few tiny incisions are made in the bones by the surgeon. The surgeon will then correct the big toe joint using screws or pins. And the most frequent treatment for bunions is this one.
Conventional Methods Are Described Below We Do Not Do The Following Procedures
SCREW REMOVAL PROCEDURE!! (quick, easy, & painless) #footsurgery #footpain #bunions #bunionsurgery
Different procedures are available for bunions of varying severity.
For mild cases, non-invasive methods, like wraps, splints, and other apparatus can be worn, but these do not correct the bunion. At best, they might temporarily alleviate some of the pain.
In one surgical procedure for less severe bunions, a V shape is cut into the joint of the big toe this allows the surgeon to straighten the toe, but requires the insertion of a screw into the joint to keep the toe in place.
For more severe cases, the soft tissue must be further disturbed. Different methods of straightening the toe are employed. Plates, screws, and other hardware are often used to correct the toe and keep it in place.
In severe cases mostly involving more elderly patients, resection arthroplasty is often performed by removing the bottom of the toe joint with the big toe left immobilized entirely. This procedure affects the balance of the patient and also changes the anatomy of the foot. When one part of the complex foot system is altered, every part of the system is changed, even beyond the foot. Over time, this causes problems in other areas of the foot and may also affect the ankles, knees, and lower back.
Also Check: Best Men’s Ankle Socks
Why Choose The International Center For Limb Lengthening For Minimally Invasive Bunion Surgery
With a collective experience of over thirty years of helping patients with lower leg, foot and ankle problems, the Foot and Ankle Service of the Rubin Institute is one of the leading treatment centers for foot and ankle conditions in the United States. Our patients benefit from our team-centered approach with world-renowned surgeons and specialized physician assistants, nurses and physical therapists.
Dr. Noman Siddiqui was one of the first surgeons in the United States to correct bunions through minimally invasive bunion correction. He has written and lectured on this topic in the United States and is considered an authority in the management of bunion deformity. He describes the procedure in greater detail in an article in Podiatry Today.
Is There A Way To Avoid Problems With Screws
In order to avoid possible problems, there are a few rules you should follow. First of all, dont force yourself into activities that can harm you, especially for the first 2-3 weeks after the surgery. Also, avoid shoes that pressure the top of your foot. Follow your doctors advice and in case of any complication, follow the prescribed treatment.
Read Also: Orthopedic Boots For Broken Foot
Arthrodesis Is Another Procedure That Uses Screws
Two bones being joined at a joint is also known as arthrodesis or a joint fusion. It is usually accomplished through surgery. Simply put, an orthopedic surgeon manually realigns the injured joint, then removes the cartilage and proceeds with stabilizing the bone in order to recover together. The operation is often used to treat severe pain that is uncontrollable and cannot be controlled by conventional therapies, physical therapy, herbal remedies, splints, or pain medications.
Why Traditional Bunion Surgery Should Be Avoided
Bunions are painful, unsightly, and mysterious. They affect about a third of all women over the age of 65, but younger people, including men, can also get them. Until recently, there hasnt been a simple solution or a cure for bunions.
Conventional foot surgery can be extremely debilitating. Understandably, people cringe at the thought of having their feet cut open. Individuals who suffer from foot ailments like bunions, heel spurs, and hammertoes often put off foot surgery until the pain becomes crippling. This, though, is far from ideal.
People will turn to every possible alternative before arriving at the last resort of conventional foot surgery. Most people with painful, unsightly bunions choose to suffer throughout life instead of undergoing the perceived horror of invasive open-foot surgery.
And for good reason.
Don’t Miss: Advanced Ankle And Foot Care
When To See Your Doctor
Always contact your doctor immediately if any of the following things happen during bunion surgery recovery:
- The dressings get wet or come undone dont try and change them yourself
- Bleeding or oozing appears on the dressings
- Warmth, redness, bleeding or excessive swelling in the foot
- Pain or swelling in the lower leg
- Increase in pain levels
- Numbness or pins and needles in the foot
Patients will not be able to feel the screws as they are placed within the bone. Screws are titanium alloy which are inert to the human body in the vast majority of cases. In fact, bone grows around the screw, rather than rejecting it. They can be safely left in forever.Do screws have to be removed after bunion surgery? ›
The screw head is approx 2-3mm above the bone, so that small area can create swelling and discomfort to the top of the foot. Furthermore, extremely active patients can force that screw to work its way up out of the bone. The screw does not have to be removed, unless it causes discomfort.Can bunion screws move? ›
Over time, screws can shift or back out of the bone. Retained screws can also lead to pain and stiffness. Additionally, most patients simply do not like the idea that they have a retained metallic implant in their body. For these reasons, we recommend using removable screws.Can you walk with screws in foot? ›
The use of screws allows the patient to be able to walk and as well as experience other weight bearing activities after surgery. The screws allow your foot and ankle to regain strength after a fracture has occurred.What is the problem with screws after bunion surgery? ›
Abrasion of the metal components of screws placed in your foot during a bunion repair may cause immune reactions within your body. Some of the symptoms of metallosis generally include pain around the site of the implant, rash or pseudotumors.How do they remove screws after bunion surgery? ›
Your surgeon will usually use the previous incisions to find and remove the hardware. In some cases these incisions are made longer or additional incisions are made to safely perform the operation.How long is recovery from screw removal? ›
This usually takes 1 to 2 weeks.How long do screws last in your foot? ›
In the majority of cases, the screw does not need to be removed and can stay in your foot or ankle forever. There is only one thing that you need to inform your doctor about if they state they are going to use screws.Can you have an MRI if you have screws in your foot? ›
If you have metal or electronic devices in your body such as artificial joints or heart valves, a pacemaker or rods, plates or screws holding bones in place, be sure to tell the technician. Metal may interfere with the magnetic field used to create an MRI image and can cause a safety hazard.Should I sleep with my foot elevated after bunion surgery? ›
After bunion surgery, it is essential to keep your foot elevated while you sleep. This helps reduce swelling and pain and speeds up the healing process. The best way to elevate your foot is to prop it up on a pillow.
Hardware Loosening: Metal implants can sometimes come loose from the bone and drift. Over time, this can lead to inflammatory reactions, protrusion of the implant through the skin, and painful hypersensitivity to cold temperatures.How long does it take to walk normally after bunion surgery? ›
Avoid going up on your toes for another 6 weeks. 13) Normal walking will not be a part of your routine for at least 8 weeks after surgery. Expect mild pain and restriction of movement (bending) of the toes for 8 weeks or more. Normal shoes may not be possible for 8-16 weeks after surgery depending on swelling.Do screws in your foot hurt? ›
In most instances, these screws and plates do not create symptoms and remain permanently in the foot. However, in some patients, hardware can become prominent or irritate a nearby tendon or other soft tissues. Some patients also complain of achiness in the foot or ankle related to weather changes.Do plates and screws hurt in cold weather? ›
Cold temperatures may cause pain in a significant number of patients with orthopedic implants. A high proportion of these patients have significant pain (5–10 on a numeric rating scale) related to cold conditions.Do screws in bone hurt? ›
Conclusion: The incidence of late pain overlying the distal tibial and fibular plate or screws is not insignificant. Although pain is generally decreased after hardware removal, nearly half of patients continue to have pain even after hardware removal.Should I get the screws removed from my foot? ›
Once the area has healed, and the hardware has fulfilled its function, there's no need for it to remain. Some foot specialists prefer to remove it preemptively before it potentially causes complications. Others prefer to leave surgical hardware in place, due to the risks inherent with subsequent surgery.Should screws be removed after surgery? ›
In most cases, implants can stay in your body without any harm. Their removal should never be considered a part of "routine" care. However, there are exceptions. They tend to emerge in a specific context, such as ankle surgery, or because of pain, irritation, or infection.Do screws stay in after surgery? ›
Surgeons leave plates and screws in most of the time, but there are some situations that may make the surgeon or patient more willing to take out the hardware: irritated tendons (can happen from a screw or the plate edge rubbing on a tendon)How long does it take for screw holes in bone to fill in? ›
When the screws are removed, will their holes fill up with new bone? Answer: Yes they will. It takes about 6 weeks for that to happen so you'll need to be a little careful until the bone has regained its full strength.Can you walk after screw removal? ›
You will be able to begin walking in a regular shoe right after surgery (preferably a sandal or loose shoe to accommodate any swelling)
You can expect some pain and swelling around the cut (incision) the doctor made. This should get better within a few days. But it's common to have some pain for up to several weeks. Your doctor will tell you when it's okay to return to work or other activities.Do they put you to sleep for screw removal? ›
What will happen during hardware removal? You may be given general anesthesia to keep you asleep during surgery. You may instead have local anesthesia to numb the area where you are having surgery. You will be awake during the surgery if you have local anesthesia.Do they leave screws in bones? ›
Screws can be used alone to hold a fracture, as well as with plates, rods, or nails. After the bone heals, screws may be either left in place or removed.Can surgical screws become infected? ›
The hardware, being an inanimate object, cannot become infected. Rather, it becomes coated with bacteria and may secondarily infect its associated bone.Do medical screws set off metal detectors? ›
Metal implants in the body, including joint replacements, plates, screws, and rods, can set off metal detectors during airport security screenings.How do you know if your body is rejecting surgical screws? ›
Patients can present with localized dermatitis or rashes but also with systemic eczematous dermatitis. Swelling, pain, draining sinuses, and inflammation at the implant site may mimic infection.How do surgeons put screws in bones? ›
In an external fixator, metal pins or screws are placed into the bone through small incisions into the skin and muscle. The pins and screws are attached to a bar outside the skin. Because pins are inserted into bone, external fixators differ from casts and splints which rely solely on external support.What is screw in foot surgery called? ›
The procedure involves cutting the metatarsal bone, repositioning it, and fastening it in place using metal pins, plates, or screws.
Significant research has been undertaken to determine the stiffness and ultimate tensile load of these devices, which has been found to range from 200 to 1600 N. Each of the techniques has advantages and pitfalls. Interference screw fixation is the most popular fixation method for bone–patellar tendon–bone grafts.What happens if you don't keep your foot elevated after surgery? ›
If you don't keep your affected limb raised, gravity causes fluid to collect in the foot, which can be painful and slow healing. Elevation can also help prevent blood clots and edema.
Raising your injury too high can decrease blood flow too much. Elevating an injury for too long can also do this, and both of these issues can slow down your body's natural healing process.How high should I elevate my foot after bunion surgery? ›
To reduce swelling and promote comfort, elevation is very helpful. Elevate the foot/ankle above the level of the heart, using several pillows, for at least 14 days after surgery. Do not place pillows directly behind the knee. Elevation for 30 minutes every 2 hours is a good initial recommendation.Can Loose screws cause pain? ›
Often, excessive pain is a symptom of a loose screw after spinal fusion or other hardware complication. “If the hardware is prominent under the skin the patient may feel a painful bump,” Dr. Lieberman explains.What you should not do when tightening screws? ›
One of the most damaging ways to do that is by over-tightening, or over torquing the fastener. This can result in stripping screws, snapping screw heads and damaging pre-tapped threading.How do you keep screws from backing out? ›
Slide a flat washer and spring washer on the screw to absorb vibrations. Washers are metal disks that are used as spacers and to keep screws tight. First, slide a flat washer onto the screw's shaft and press it against the bottom of the screw head.When does pain peak after bunion surgery? ›
Pain peaks at around 16 -24 hours, reduce over 72 hours and can be fairly negligible by 5 days. Swelling reduces slowly from 2 weeks, 4-6 weeks, 3-4 months, and 6 months. Footwear may be tolerated by 6 weeks to be tolerated but don't be surprised if it takes longer.What are the best shoes to wear after bunion surgery? ›
First, the style of shoe recommended is a running or walking shoe with good traction to avoid slipping on smooth surfaces. These shoes typically have a wider toe box and are more breathable than a casual shoe style. The shoe should provide support and have a typical insole.
At home treatment
Rinse the wound with water and use disinfected tweezers to remove debris. Clean the wound with soap and water, pat dry with a clean towel, apply an antibiotic and cover with a bandage. If the wound is bleeding, apply gentle pressure with a clean cloth or bandage. Change the bandage once a day.
Background: Titanium is generally considered a safe metal to use in implantation but some studies have suggested that particulate titanium may cause health problems either at the site overlying the implant or in distant organs, particularly after frictional wear of a medical prosthesis.How long do bone screws hurt? ›
You can expect some pain and swelling around the cut (incision) the doctor made. This should get better within a few days after your surgery. But it is normal to have some pain for 2 to 3 weeks after surgery and mild pain for up to 6 weeks after surgery.
Plates and Screws
This metalwork often sits just beneath the skin and as a result can be uncomfortable. It is easily knocked when it becomes noticeably tender. If metalwork is prominent around the ankle it can rub. This is particularly a problem when fitting ski boots.
Guests who have metal implants might feel the cold more in the implant area during lower temperatures. The skin, body and brain are extra sensitive to heat loss and a cold, damp environment. When we get cold, our body generates heat to try to stay warm.How long does it take to recover from bunion screw removal? ›
For the first 2 weeks this may be in a post operative shoe to accommodate your bandage. Crutches may be required to assist mobilisation. Return to most activities: 6 weeks. Full recovery: Within 3 months.
Over time, screws can shift or back out of the bone. Retained screws can also lead to pain and stiffness. Additionally, most patients simply do not like the idea that they have a retained metallic implant in their body. For these reasons, we recommend using removable screws.Can screws be removed after foot surgery? ›
Once the area has healed, and the hardware has fulfilled its function, there's no need for it to remain. Some foot specialists prefer to remove it preemptively before it potentially causes complications. Others prefer to leave surgical hardware in place, due to the risks inherent with subsequent surgery.When can you walk properly after bunion surgery? ›
It usually takes three to six months to get back to normal walking or sports activities after bunion surgery. But everyone recovers differently. The main thing is to not do too much, too soon. You can usually drive again once you're able to do an emergency stop safely.How long does it take for bone to heal around screws? ›
According to the Cleveland Clinic, this process will typically take six to eight weeks. However, this time frame can vary based on the fracture type and location.How often should I elevate my foot after bunion surgery? ›
To reduce swelling and promote comfort, elevation is very helpful. Elevate the foot/ankle above the level of the heart, using several pillows, for at least 14 days after surgery. Do not place pillows directly behind the knee. Elevation for 30 minutes every 2 hours is a good initial recommendation.Does it hurt to have screws removed? ›
You've had surgery to remove orthopedic hardware such as metal screws, pins, or plates. You can expect some pain and swelling around the cut (incision) the doctor made.