alexa Salvage of a Lesser Toe Osteomyelitis when Complicated
ISSN: 2329-910X

Clinical Research on Foot & Ankle
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Case Report

Salvage of a Lesser Toe Osteomyelitis when Complicated by a Broken Screw: A Case Study

Mohammed Al Mutani1*, Joseph Carter1and Christopher R Walker2
1SpR, Trauma and Orthopedic, Royal Liverpool and Broadgreen University Hospital, Thomas drive, Liverpool, L14 3LB, United Kingdom
2Consultant in Trauma & Orthopaedic Surgery, Royal Liverpool and Broadgreen University Hospital, Thomas drive, Liverpool, L14 3LB, United Kingdom
Corresponding Author : Mohammed Al Mutani
SpR, Trauma and Orthopedic
Royal Liverpool and Broadgreen University Hospital
Thomas drive, Liverpool
L14 3LB, United Kingdom
Tel: 0151 282 6746
E-mail: [email protected]
Received: October 04, 2015 Accepted: October 06, 2015 Published: October 10, 2015
Citation: Mutani MA, Carter J, Walker CR (2015) Salvage of a Lesser Toe Osteomyelitis when Complicated by a Broken Screw: A Case Study. Clin Res Foot Ankle 3:175. doi:10.4172/2329-910X.1000175
Copyright: © 2015 Mutani MA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Orthopedic screw removal has proven itself to be a challenge. Access to a Screw Removal Set (TM Synthes) is essential. But what options are available when it cannot remove a broken screw in a lesser toe on a background of osteomyelitis of a lesser toe? A young healthy patient had undergone a 2nd and 3rd toe proximal interphalangeal joint (PIPJ) and distal interphalangeal joint (DIPJ) fusion using a cannulated dual threaded compression screw in 2006. She had had a successful fusion but eight years later, she developed osteomyelitis in the 2nd toe. An attempt was made to manage this conservatively with antibiotic therapy but a further flair up occurred following treatment. At surgery, the screw head broke while trying to remove it leaving just the smooth shaft of the screw, deep within the proximal phalanx. The Screw Removal Set was not useful and it was removed by making a gutter dorsally.

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