Technique for removal of cannulated screws

Cannulated screws can become incarcerated or stripped during the process of initial open-reduction internal fixation or at the time of hardware removal. In addition, many different sizes and brands of cannulated screws exist, and the appropriate size or type of screwdriver may not be available. We describe a simple technique for cannulated screw removal that works for all types of screws and can be performed percutaneously using only a Steinmann pin and T- handle chuck or pin driver.