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Screwdriver Tip Breakage during Removal of 3.5 mm Locking Screw, an Unusual Complication: A Case Report

Case Report | Journal of Clinical Orthopaedics | Vol 10 | Issue 2 | July-December 2025 | page: 116-118 | Ahmed A. Khalifa, Muhammad Khair Al Muhammad

DOI: https://doi.org/10.13107/jcorth.2025.v10.i02.796

Open Access License: CC BY-NC 4.0
Copyright Statement: Copyright © 2025; The Author(s).

Submitted Date: 19 Jul 2025, Review Date: 12 Aug 2025, Accepted Date: 10 Sep 2025 & Published Date: 10 Dec 2025


Author: Ahmed A. Khalifa [1, 2], Muhammad Khair Al Muhammad [2]

[1] Department of Orthopaedic, Qena Faculty of Medicine and University Hospital, South Valley University, Qena, Egypt.
[2] Department of Orthopaedic, Aster Sanad Hospital, Riyadh, Saudi Arabia.


Address of Correspondence
Dr.Ahmed A. Khalifa,
Department of Orthopedic, Qena Faculty of Medicine and University Hospital, South Valley University, Qena, Egypt.
E-mail: ahmed_adel0391@med.svu.edu.eg


Abstract


Introduction: Hardware removal after orthopedic or fracture fixation surgeries, including locking plates and screws removal after fracture union, is a common practice; however, sometimes it is not as straightforward a procedure as it looks.
Case Report: We present a case of a male patient, 36 years old, who had a right tibial plateau fracture 2 years back, which was treated by open reduction and internal fixation using a locking 3.5 mm lateral proximal tibial plate. During hardware removal, we encountered an unusual complication: A breakage of the screwdriver tip.
Results: The screws were successfully removed after using a new screwdriver with no further complications.
Conclusion: Various unexpected circumstances might occur, such as damage or breakage of the screws heads or screwdriver tip, which hinders the complete removal of the hardware. The surgeon should be prepared with the proper tools to handle potential unusual situations.
Keywords: Hardware removal, Locking plates, Screws, Case report, Breakage.


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How to Cite this Article: Khalifa AA, Al-Muhammad MK. Screwdriver Tip Breakage During Removal of 3.5 mm Locking Screw, an Unusual Complication: A Case Report. Journal of Clinical Orthopaedics. July-December 2025;10(2):116-118.

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