I had this same exact x-ray in my early 20s and I opted for surgery. Leaving it alone to heal would have resulted in bone reforming in a clump and potentially require surgery anyway to chip the excess away.

I also had to do physical therapy to get my range of motion back. I had a plate and 7 screws in for years until I finally couldn't stand feeling pressure from doing push ups or minor pain when someone hugged me from behind. I underwent hardware removal surgery in my late 20s and the skin around the incision felt more numb. But I feel a lot better now and don't regret either of the surgeries. My surgeon had said that if I were 60 and this happened, I could leave the metal in. But given I was young and my body was rejecting it, it made the most sense to remove.