A simple method of extracting broken distal tibial-fibular syndesmotic or cross-locking screws for intramedullary nails is illustrated. After extraction of the head portion of the broken screw, a blunt impactor is introduced through the vacant screw hole and abutted to the remaining portion of the screw tip. The screw can usually be impacted through the far cortex. A small incision should be made over the protruding portion, and the screw extracted with pliers.
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Henley et al. (1994) studied this question.
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