Patient came to the operating room to have femoral blade plate and three screws removed.Proximal and distal screws were removed without difficulty.The middle screw per surgeon was cold-welded into the plate.He attempted to remove the screw with two different screw drivers, but damaged the drivers while attempting this.He then used the broken screw removal set but was also unsuccessful.He then used a burr to remove the head of the screw and was then able to remove the plate.He then used a trephine to remove the rest of the screws.The wound was irrigated with saline to remove the metal shavings.Per the surgeon this added 30 minutes to the patient's anesthesia/case time.
|