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I have a Tibia 'nail' fixation w/ three screws. When I had just recovered, a friend told me that I had to have it all removed after a year so the bone would become stronger. I talked w/ the Orthopedic and he indicated that it would strengthen with or without removing the hardwear and he only recomended removals that interfeared w/ movement like in an ankle.

I have a copy of the report from the operation [I was away from home] that I was supposed to give to the local Ortho but he only looked at the digital x-rays and wouldn't take it. It describes how the 'reamed' inside my tibia and drove the 'nail' in place by hammering it w/ a mallot...it can stay where it is!
 
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