Under certain circumstances they can be removed.
I’ve had a serious upper tibia fracture with 2 plates held by ten-ish screws, and asked for all that metal to be removed, because of constant discomfort. About 1½ year after the installation they were pulled out. Recovery was quick (I was home the same day; I had to use crutches, but I kept using them for less than a week), discomfort was immediately gone, I’m a happy camper, would do it again.
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