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KMID : 1144620230360030265
Journal of Trauma and Injury
2023 Volume.36 No. 3 p.265 ~ p.268
Removal of broken syndesmotic screw with minimal bone defects in Korea: a case report
Kyung Min-Gyu

Park Chul-Hee
Abstract
Ankle fractures with syndesmotic injuries often require fixation, where metal screw fixation is a popular method. However, as the patient begins weight-bearing, most syndesmotic screws tend to loosen or break, and removal of such screws has been challenging for the surgeons, as the available techniques require predrilling or trephination and are associated with risks of bone damage. This study presents a case with technical tip for the removal of broken tricortical-fixed non-cannulated syndesmotic screws. It implements the generation of a small cortical window in the medial distal tibia and the use of pliers to engage the screw tip and remove through the medial side. The technique presented in the current study overcomes these limitations and facilitates minimal bone damage and reduced exposure to radiation.
KEYWORD
Ankle fractures, Syndesmotic screw, Intraosseous breakage, Corticotomy, Case reports
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