European Orthopaedics and Traumatology

, Volume 2, Issue 5–6, pp 147–148 | Cite as

The use of an arthroscopic cannula to remove bone screws

  • S. M. ThompsonEmail author
  • R. Dattani
  • V. K. Singh
  • V. R. Patel
Case Report



With the advent of minimally invasive trauma techniques, lesser invasive removal of metalwork is desirable. Screws which are retained, stripped or lost in the soft tissues (especially in areas such as the femur with large soft tissue coverage) are a problem and may require further surery.


This new technique of bone screw removal using an arthroscopic cannula is useful in regions with significant soft tissue and muscle bulk.


Smaller incisions and minimal soft tissue damage may allow better post-operative pain modulation. It may also have a role in patients with highly physical occupations where removal of metalwork may be a hindrance.


Bone screw Arthroscopic cannula Surgery Removal metalwork 


  1. 1.
    Jago ER, Hindley CJ (1998) The removal of metalwork in children. Injury 29(6):439–441, Erratum in Injury 1998 Nov; 29(9):736PubMedCrossRefGoogle Scholar
  2. 2.
    Jamil W, Allami M, Choudhury MZ, Mann C, Bagga T, Roberts A (2008) Do orthopaedic surgeons need a policy on the removal of metalwork? A descriptive national survey of practicing surgeons in the United Kingdom. Injury 39(3):362–367, Epub 2008 Feb 1PubMedCrossRefGoogle Scholar
  3. 3.
    Ramakrishnan M, Subramanian KN, Geary NPJ (2004) Percutaneous removal of metalwork around ankle: our experience with first 12 cases. Foot Ankle Surg 10(1):9–11CrossRefGoogle Scholar
  4. 4.
    Sanderson PL, Ryan W, Turner PG (1992) Complications of metalwork removal. Injury 23(1):29–30PubMedCrossRefGoogle Scholar
  5. 5.
    Townend M, Parker P (2005) Metalwork removal in potential army recruits. Evidence-based changes to entry criteria. J R Army Med Corps 151(1):2–4PubMedGoogle Scholar

Copyright information

© EFORT 2011

Authors and Affiliations

  • S. M. Thompson
    • 1
    Email author
  • R. Dattani
    • 1
  • V. K. Singh
    • 1
  • V. R. Patel
    • 1
  1. 1.Epsom and St Helier NHS TrustSurreyUK

Personalised recommendations