Instructions for Staple Removal from Anterior Tibia
Timing of Staple Removal
Staples from the anterior tibia should be removed once the wound shows evidence of healing, typically around 14 days after surgery, when there is no significant swelling, erythema, or drainage. 1
The timing of staple removal is critical for proper wound healing and to minimize complications:
- Wait until the wound shows clear evidence of healing, which typically occurs around 14 days post-surgery 1
- Ensure all signs of infection are absent before removal (no significant swelling, erythema, or drainage) 1
- Confirm there is no clinical evidence of non-surgical site infections 1
Procedure for Staple Removal
Follow these steps for safe and effective staple removal:
- Apply topical anesthesia around (not on) the wound approximately 47 minutes before the procedure to reduce pain during staple removal 2
- Use a sterile staple remover tool to avoid wound contamination 1
- Position the lower jaw of the staple remover under the staple 3
- Squeeze the handles to bend the staple in the middle, causing the prongs to straighten and lift out of the skin 3
- Remove staples in a sequential manner, working from one end of the incision to the other 1
- After removal, assess the wound for any signs of dehiscence or infection 1
Post-Removal Care
After staple removal, proper wound care is essential:
- Apply sterile adhesive strips across the wound if needed for additional support 1
- Keep the area clean and dry 1
- Monitor for signs of infection (increased pain, redness, warmth, swelling, or drainage) 1
- Avoid excessive strain on the wound site during the initial healing phase 1
Special Considerations
Certain patient populations require additional attention:
- For patients on biologic therapy for rheumatic conditions, ensure staples are completely removed before restarting medication 1, 3
- Patients with diabetes or other conditions affecting wound healing may require longer healing time before staple removal 1
- For patients with a history of keloid formation, consider applying silicone sheets after staple removal to minimize scarring 1
Potential Complications
Be aware of possible complications during or after staple removal:
- Pain during removal (can be minimized with topical anesthesia) 2
- Wound dehiscence if staples are removed too early 1
- Infection if proper sterile technique is not maintained 1
- Scarring, which may be more prominent if staples are left in too long 1
When to Seek Medical Attention
Instruct patients to seek medical attention if they experience: