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Bruce Twaddle
The left column is the information as given during the lecture. The
column at the right gives you space to make personal notes.
Learning outcomes
At the end of this lecture you will be able to:
• Outline the role of ORP in planning for implant
removal
• Discuss what is required to remove broken and
damaged implants
Rule of W's
1) Nonunion of fracture
2) Breakage of implant
3) Joint penetration
5) Pain
6) Infection
Plate failure—fatigue
Broken screws (A
and C)
Broken plate (B)
Procedure
Removal procedure:
Removal procedure:
Removal procedure:
Removal procedure:
A sharp hook
The best screwdrivers
Problems:
Interlocking screws are broken
Recess of screws/nail is damaged
Problem:
Overgrowth of bone
Procedure:
Use of special pliers
Summary
1. Which instrument(s) is(are) used for removal of a screw shaft which remained in the
bone?
Which procedure is followed in your hospital, when the implant(s) is/are infected?
Do you have a DYI (Do It Yourself) kit? If so, does it contain other instruments? If not,
would you suggest this in your OR?
What would you take out this lecture and transfer into your practice?
Notes