Case report: A technique to remove a jammed locking screw from a locking plate.

Area of Science:

• Orthopedic surgery
• Biomaterials engineering

Background:

• Locking titanium plates are crucial for treating complex fractures.
• Screw head cold welding presents a significant complication during plate removal.
• Existing removal techniques are not universally effective.

Observation:

• A novel technique was developed to address jammed locking screws in titanium plates.
• The technique involves making radial cuts in the plate and using an osteotome to release the screw head.
• This method was successfully applied in a case of distal femur locking plate removal.

Findings:

• The described technique provides an easy and reproducible method for removing jammed locking screws.
• Radial cuts allow for controlled release of the screw head from the locking hole.
• The technique proved effective in a clinical case where standard methods failed.

Implications:

• This technique offers a valuable addition to the armamentarium for orthopedic implant removal.
• An algorithm for screw removal can guide surgeons in selecting the appropriate method.
• Improved screw removal techniques can enhance patient outcomes and reduce surgical complications.