In reply to james mann:
> .... There is also the risk that an impact could have fairly catastrophic consequences. About two weeks ago, after advice from a doctor friend, I had the metal removed, the ankle joint cleaned and rebuilding of the tendons and ligaments in the lower leg.....
Following a groundfall, I ended up with a very bad calcanial and sub-talar fracture. Nine pins and five plates later and all was seemingly well. Following advice from 2 separate orthopedic consultants, I had all the metalwork removed about 4 years later for exactly the same reason as James in what I assume would have been a fairly similar operation.
It's definitely a potential cost -potential benefit issue. The risk of infection from any foot surgery is apparently quite high and is often cited as a reason for leaving well alone. However, after giving me graphic descriptions of the consequences of another fall onto a metalwork laden ankle as well as possible outcomes (worst-case scenario being amputation) and as I was still climbing, both consultants were dead keen to have the metalwork removed, otherwise they'd have advised otherwise.
Being back in a cast for 6 weeks and on crutches for a further 8 weeks, as well as much rehab, was extremely frustrating but totally worth it as far as I'm concerned. Not only was the continuous discomfort/ minor pain/ irritation from the metalwork completely removed, the nagging fear of the possible consequences of another fall went away too. I also ended up with a slight gain in flexibility.
Would I elect to have the metalwork removed again? Yes, without any hesitation whatsoever. I'm back climbing at a similar or higher standard than before the initial accident and 7 years after being told that I'd never be able to walk further than about a mile ever again, and despite post-injury arthritis, yesterday I did a reasonably fast ascent and descent of Tryfan via the North Ridge. If time would have allowed, I'd have continued on up Bristly Ridge, followed by a traverse of the Glyderau ....
Take professional advice and consider your options carefully. I took well over a year, with much research and then a second opinion, before I decided to have the metalwork removed.
Good luck Frank, with whatever you decide to do.
PS: Against all protocols; I was allowed to keep all my metalwork as my consultant was seemingly a bit of a free-thinking maverick.
Post edited at 13:50