scholarly journals Arthroscopically assisted surgical fixation of a juvenile Tillaux fracture and implant removal: A case report

2017 ◽  
Vol 8 ◽  
pp. S32-S37
Author(s):  
Takahisa Ogawa ◽  
Sadanori Shimizu
2010 ◽  
Vol 19 (2) ◽  
pp. 264-266 ◽  
Author(s):  
Raúl Torres Claramunt ◽  
Xavier Pelfort López ◽  
Enric Cáceres Palou ◽  
Joan C. Monllau García ◽  
Lluís Puig Verdie

Hand Surgery ◽  
2009 ◽  
Vol 14 (01) ◽  
pp. 25-29 ◽  
Author(s):  
Katsumitsu Arai ◽  
Hajime Ishikawa ◽  
Takehiro Murai ◽  
Junichi Fujisawa ◽  
Naoto Endo

We report a case of a patient with rheumatoid arthritis undergoing revision surgery 30 years after primary metacarpophalangeal joint arthroplasty using a Swanson implant. Removal and replacement of the implant were successfully performed, and the patient was satisfied with the revision surgery.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sumanth Madhusudan Prabhakar ◽  
Joshua Decruz ◽  
Wee Liang Hao James ◽  
Remesh Kunnasegaran

Introduction: Difficulties encountered during removal of implants present a common technical challenge in orthopedic surgery, for which a number of factors have been implicated. A variety of techniques and instruments have been used to overcome this. However, some of these may prove to be time consuming, expensive, and inaccessible to many surgical setups. We describe a technique used for the removal of a jammed interlocking screw from an intramedullary nail that allows for minimal damage to the hardware, bone, and surrounding soft tissue, with the added advantage of being relatively quick and technically uncomplicated with the use of simple instruments. Case Report: We describe the case of an 81-year-old female with a history of surgical fixation for a left femur intertrochanteric fracture, who presented with groin pain 13 months post-fixation. Radiographs were suggestive of avascular necrosis of the femoral head with resultant cut-in of the blade, and the patient was eventually taken up for the removal of implants and total hip replacement. Intraoperatively, difficulties were encountered in the removal of the distal interlocking screw, with failure of conventional techniques initially. A high-speed burr was then employed to shape the screw head so as to achieve better grip with extraction devices, which facilitated smooth removal. Conclusion: We describe a simple method for difficult screw removal involving the use of a high-speed burr and vise grip pliers. This technique provides a quick and inexpensive option with commonly available surgical tools and may be considered when encountering difficulties with screw extraction. Keywords: Trauma, revision surgery, interlocking screw, screw removal.


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