Playing with metal: fracture implants and contact sport.
OBJECTIVE
To assess the outcome of athletes returning to contact sport with indwelling fracture implants.


METHODS
A retrospective analysis of professional rugby union players competing in the South Wales premier league.


RESULTS
Fifteen athletes were identified who had returned to competitive rugby union with retained fracture implants during the period 1990-97. After fracture fixation, the players resumed their preinjury level of contact sport within one to 12 months. Only two athletes suffered complications in relation to the retained implant, whereas the other 13 athletes played for up to six years without symptoms.


CONCLUSIONS
The results from this preliminary series suggest that an early return to contact sport is feasible in selected cases. Avoiding the extended delay associated with implant removal affords not only minimal disruption to competitive participation, but also prevents prolonged financial losses for the professional player.
Evans
N A
NA
Department of Trauma and Orthopaedics, Morriston Hospital, Swansea, United Kingdom.
Evans
R O
RO
D000293:Adolescent; D000328:Adult; D001672:Biocompatible Materials; D001858:Bone Nails; D001860:Bone Plates / Q000009:adverse effects*; D005500:Follow-Up Studies; D005538:Football / Q000293:injuries*; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000534:rehabilitation*; D017102:Fracture Healing / Q000502:physiology; D050723:Fractures, Bone / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008670:Metals / Q000009:adverse effects*; D019736:Prostheses and Implants / Q000009:adverse effects*; D012086:Reoperation; D012189:Retrospective Studies; D013314:Stress, Mechanical; D013997:Time Factors
D001672:Biocompatible Materials; D008670:Metals