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Case Reports
Technical tip: Removal of a broken tri-cortical syndesmotic screw using a "perfect circle" technique.
- Matthew D Riedel, Jorge Briceno, Christopher P Miller, and John Y Kwon.
- Harvard Combined Orthopaedic Residency Program, Harvard Medical School, Boston, MA, USA. Electronic address: mdriedel@partners.org.
- Injury. 2018 Apr 1; 49 (4): 877-880.
AbstractWhile broken or loose syndesmotic screws are typically of no clinical consequence, occasionally breakage can result in pain, metal fretting, or bony erosion. Despite quad-cortical syndesmotic screws being relatively easy to remove due to the prominent screw tip penetrating the medial tibial cortex, removal of a broken tri-cortical screw can be technically challenging. The purpose of this manuscript is to describe a safe technique for removing the buried, broken tri-cortical screw fragment via a minimally invasive medial tibial approach by verifying the screw location using intra-operative fluoroscopy.Copyright © 2018 Elsevier Ltd. All rights reserved.
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