PMC6453824_01
(A) 29-year-old male sustained fractures of the right tibial shaft and lateral malleolus, and underwent surgical treatment using a locking plate at another hospital. (B) Then, he was transferred to our hospital, and following identification of bony union, plate removal was scheduled. (C) Intraoperatively, multiple heads of the locking screw were damaged and could not be removed. Thus, we used a screw extractor (IRWIN , Huntersville, NC, USA), a non-medical instrument that had been sterilized. Through drilling, the plate was separated from the screws and could be removed first. The remaining shafts of the screws were removed with a vice grip. (D) Postoperative radiograph reveals that the plate and screws were removed without substantial complications.
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With 2-h use of a tourniquet, all implants could be removed and the skin could be closed (Fig. 1).