Technical tip: Removal of a broken tri-cortical syndesmotic screw using a “perfect circle” technique

Publication date: Available online 2 March 2018
Source:Injury
Author(s): Matthew D. Riedel, Jorge Briceno, Christopher P. Miller, John Y. Kwon
While 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.



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