A Technique for Retrieval of Screw for Missed Screw Head

Background: Orthopaedic implants are medical devices used to replace or fix bones or to replace the articulating surfaces of joints. Once fracture healing is complete, these implants may no longer serve a functional purpose and can be removed. During implant removal surgeries, surgeons may encounter...

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Main Authors: Pankaj Kumar Singh, Ajay Singla, Niket Raj Garg, Vachan Goyal, Pahul Bansal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Orthopedics, Traumatology and Rehabilitation
Subjects:
Online Access:https://journals.lww.com/10.4103/jotr.jotr_108_23
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author Pankaj Kumar Singh
Ajay Singla
Niket Raj Garg
Vachan Goyal
Pahul Bansal
author_facet Pankaj Kumar Singh
Ajay Singla
Niket Raj Garg
Vachan Goyal
Pahul Bansal
author_sort Pankaj Kumar Singh
collection DOAJ
description Background: Orthopaedic implants are medical devices used to replace or fix bones or to replace the articulating surfaces of joints. Once fracture healing is complete, these implants may no longer serve a functional purpose and can be removed. During implant removal surgeries, surgeons may encounter various challenges, such as stripped screw heads. While several methods for addressing this issue have been previously described, this study introduces a novel technique for retrieving stripped screw heads. Methods: Between May 2021 and September 2023, 21 patients underwent implant removal surgeries where stripped screw heads were encountered intraoperatively. The technique involved cutting the screw head with a metal-cutting drill bit, which proved to be effective in facilitating retrieval. Results: All the screws with stripped screw head could be extracted using our technique. Conclusion: Compared to traditional methods, this new approach requires less specialized skill and equipment and is more cost-effective.
format Article
id doaj-art-6931511e85624d078e0b9ef08a3a82d3
institution Kabale University
issn 0975-7341
2347-3746
language English
publishDate 2024-12-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Orthopedics, Traumatology and Rehabilitation
spelling doaj-art-6931511e85624d078e0b9ef08a3a82d32025-01-12T13:54:12ZengWolters Kluwer Medknow PublicationsJournal of Orthopedics, Traumatology and Rehabilitation0975-73412347-37462024-12-0116217918210.4103/jotr.jotr_108_23A Technique for Retrieval of Screw for Missed Screw HeadPankaj Kumar SinghAjay SinglaNiket Raj GargVachan GoyalPahul BansalBackground: Orthopaedic implants are medical devices used to replace or fix bones or to replace the articulating surfaces of joints. Once fracture healing is complete, these implants may no longer serve a functional purpose and can be removed. During implant removal surgeries, surgeons may encounter various challenges, such as stripped screw heads. While several methods for addressing this issue have been previously described, this study introduces a novel technique for retrieving stripped screw heads. Methods: Between May 2021 and September 2023, 21 patients underwent implant removal surgeries where stripped screw heads were encountered intraoperatively. The technique involved cutting the screw head with a metal-cutting drill bit, which proved to be effective in facilitating retrieval. Results: All the screws with stripped screw head could be extracted using our technique. Conclusion: Compared to traditional methods, this new approach requires less specialized skill and equipment and is more cost-effective.https://journals.lww.com/10.4103/jotr.jotr_108_23implant removalmetal-cutting drill bitstripped/rounded head screw
spellingShingle Pankaj Kumar Singh
Ajay Singla
Niket Raj Garg
Vachan Goyal
Pahul Bansal
A Technique for Retrieval of Screw for Missed Screw Head
Journal of Orthopedics, Traumatology and Rehabilitation
implant removal
metal-cutting drill bit
stripped/rounded head screw
title A Technique for Retrieval of Screw for Missed Screw Head
title_full A Technique for Retrieval of Screw for Missed Screw Head
title_fullStr A Technique for Retrieval of Screw for Missed Screw Head
title_full_unstemmed A Technique for Retrieval of Screw for Missed Screw Head
title_short A Technique for Retrieval of Screw for Missed Screw Head
title_sort technique for retrieval of screw for missed screw head
topic implant removal
metal-cutting drill bit
stripped/rounded head screw
url https://journals.lww.com/10.4103/jotr.jotr_108_23
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