Dynamic hip screw removal using a blade plate extraction device.
Dynamic hip screw implants are extracted by removing the side plate and compression screws. Occasionally, ingrown bone will prevent easy plate removal. A common solution is to use an osteotome as a levering device; however, the stress riser on the proximal femur caused by this maneuver could result in a catastrophic fracture. A blade plate extraction device fits into the dynamic hip screw side plate and allows relatively atraumatic removal of the implant, preventing the use of excessive force and decreasing the risk of an intraoperative fracture.
Phipatanakul
Wesley P
WP
Department of Orthopaedic Surgery, Wayne State University, Detroit, Michigan, USA.
Watson
J Tracy
JT
D001860:Bone Plates; D001863:Bone Screws; D020878:Device Removal / Q000379:methods*; D006620:Hip Fractures / Q000601:surgery; D006801:Humans; D019637:Orthopedic Procedures / Q000379:methods*