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The response to the question below was authored by Marc Mitnick DPM

Broken screw embedded in bone

I had a car accident and broke my ankle, dislocating it and crushing the talas. Screws were put in place to hold the talas together. One of the screws broke and the doctor removed the part of the screw that was accessible, leaving the broken piece in the bone. Now this piece is causing irritation and the doctor will be going in to remove it. My question is what will the procedure be and how long of a recovery. When he told me what would need to be done I was too upset to ask questions and accepted the fact it needed to be done to relieve some of the pain. He did indicate I would be in the boot after the surgery but did not indicate for how long.

Hi,
Not knowing the exact location and length of the broken screw I cannot really answer your questions. The problem is, you really have no choice, if the remaining screw is irritating chances are it will only get worse over time and depending what structures it is rubbing against, it may do further damage.
Good luck with the surgery.
Marc Mitnick DPM

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Jul 20, 2014
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Broken Screw
by: james

my fusions was done 18yr ago and now I have a broken screw, but they say (drs) doesn't matter, the fusion isn6t moving, well where did all this back and leg pain came,,,,,the say live with it, iam now on mophone and the fentanyl patch for pain , I wasn't taken nothing....should I make the dr put a new screw in or get a new dr?

he did put me in PT for 6 weeks, not I can do, most cause more pain

Aug 17, 2013
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Me too; broken screw:(
by: L. A.

Hi! I had a major repair and recovery from a broken fibula; 8 screws, a plate and a syndesmotic screw at the top of the repair. I am learning the later screw did it's job before breaking right before I went in for my exit from pt back to no restrictions. It broke just perfectly between the fibula and tibia. Of course, I was wondering is this going to require more surgery; is it better to leave it in or remove it now? My surgeon; who did a fantastic job repairing me assured me we would just leave it there for now-unless I have any problems? It's been 6 months and I am still gaining my confidence; practicing the rolling walking motion and trying to take the stairs without a slight hop down the last one. Best to all of you who are recovering and have experienced this too!

Jun 16, 2013
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Broken screws on ankle
by: Karen

I broke my ankle 6 months ago & had to have a plate & 7 screws put in. Now I'm having a lot of pain & my dr said 3 screws are broken- how & why do they break?? I was too upset to think to ask this question.

Jan 03, 2013
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what did you decide?
by: Kennedy

Hi, I have the same issue with a broken syndesmosis screw, only mine broke halfway into my fibula.

I was wondering what you had decided regarding attempting to remove the broken bits of the screw?

Did you do it? What was the outcome?

my email is fromyhair@gmail.com

Thank you

Apr 06, 2011
Rating

broken screw in ankle
by: susan

i broke my ankle in 1990 from accident had 2 screwws put in 3 months later had one taken out tand the other broke in half. the dr told me the screw would be fine in there with no problems.
now after so long im having bad ankle problems, pain with putting wieght one it, i know the bone has fussed over the screw, what can i do now.

susanm420@yahoo.com

Jan 20, 2011
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broken syndesmosis screw - to remove or not?
by: Anonymous

Hello,

I sustained a Bimalleolar Fracture with a Syndesmotic injury to my left ankle after a rough skydiving landing in July 2010. I have a metal plate and 6 scres on the outer side of my anke, plus two pins on the inner side of my ankle. I also have a syndesmosis screw(spelling??) Through the middle. My initial surgeon advised me to get the syndesmosis (long) screw out before I broke it. Unfortunately my insurance would not allow the initial surgeon to complete the surgery thus I had to wait an extended time for a new referral and by that time the screw had broken. I tried to keep it in, but pain increased. Now I am looking at going back and the surgeon is advising to take out all of the hardware except the broken part of the screw. The screw broke very near it's "head", so there will still be a very long piece through the middle. The doctor stated he would try to to take the broken part out also, if I absolutely wanted to.

I've heard that the bone could fuse to screw but still cause problems later. I've also heard that the screw will continue to break in other places if left in and I resume my active lifestyle. Then I've also heard its riskier to take it out, because the doctor has to core a hole through the bone bigger than the screw to be able to remove it, and there could be issues with healing and bone strength after.

Anyone have thoughs on this? I am trying to decide if I want them to try and get the broken piece out also, or leave that long piece in.

Thanks,
Christine

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ADDITIONAL REFERENCES

Mayo Clinic

Johns Hopkins Medicine

MedlinePlus

Arthritis Foundation

University of Rochester Medical Center

Harvard Health

Drugs.com

American Academy of Pediatrics

Penn State Medical Center

National Institutes of Health

Columbia University Department of Rehabilitation

ScienceDirect

Stanford Health Care

Illinois Bone and Joint Institute

Mount Sinai Hospital

Institute for Chronic Pain

University of Florida Health

American Family Physician

Cedars-Sinai

University of Maryland Medical Center

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(location unknown)

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(location unknown)

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(location unknown)

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Unknown location

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New Zealand

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Arizona

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Poland

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M P

South Carolina

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Arlington, VA

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San Clemente, CA

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location unknown

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location unknown

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Bre

location unknown

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anonymous

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Poland

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Seattle, WA

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New Jersey

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location unknown

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Evansville, IA

Dear Marc

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San Diego, CA

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location unknown

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Whichita, KS

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Boston, MA

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Colorado

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Colorado

Wonderful advice

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This is the best site for foot problem info.

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location unknown

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Canada

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Wisconsin

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North Carolina

Many Thanks Dr Marc!
Thank you for your response. It sounds like a good plan to me. He did not cut the wart out first ...

KG

location unknown

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Bessie Mae

Florida

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New Jersey

Thank you. you were more detailed than what others have told me they finally called from the last xrays and my son is now in a cast for 2 weeks he did have a fracture that was not noticeable.

a mom

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Lenoir, NC

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Bellevue, WA

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Jodi

location unknown

Broken screw embedded in bone

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