Extremely painful aching pain around locking screws

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Quote from: Anndr000 on September 22, 2021, 04:35:20 PMI would like to get the hardware remove, but I got the operation done in a different country, and currently their border is closed due to covid… I’m unsure if the doctors in the US will have the necessary tools to remove my hardware, since hardware can differ countries to countries.

If you give them information about the nail they can get the tools.  Ask your doctor and relay the information.

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A similar problem occurred with Stryde screws, maybe the same situation. Your bone seems healed enough to remove 1 screw. You can consult your surgeon and remove the screw from the painful area.

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few things here:

The reaction in front of the screw seems to be a little heterotopic ossification, usually indicating of soft tissue trauma. that screw is most likely irritating soft tissues . that’s one potential cause.

The screws are Not backing out, this is not a reaction similar to stryde lysis/periosteal reaction (your trauma rod is most likely titanium, which has not been found to create those issues.

Finally, the nail being very rigid ,( more than your bone) could be causing pain after intense effort due to the difference in elasticity between nail and bone.

lastly, the tools necessary to remove those rods are quite universal.. all a surgeon may need is a 4/4.5/4.7mm hex screw driver, and a conical extractor. It is a skill most orthopedic surgeons have HOWEVER, not all orthopedic surgeons believe in removing hardware… It may sound silly but there’s two distinct school of thoughts: the hardware removers, and the non removers ..

Bottom line is: Removing the locking screws may or may not resolve the issue.

hit us back with new recent xrays and i’ll tell you if the rods are ready for removal.

Most insurances will cover the cost

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Quote from: Michael J. Assayag, MD on September 23, 2021, 01:34:36 AMfew things here:

The reaction in front of the screw seems to be a little heterotopic ossification, usually indicating of soft tissue trauma. that screw is most likely irritating soft tissues . that’s one potential cause.

The screws are Not backing out, this is not a reaction similar to stryde lysis/periosteal reaction (your trauma rod is most likely titanium, which has not been found to create those issues.

Finally, the nail being very rigid ,( more than your bone) could be causing pain after intense effort due to the difference in elasticity between nail and bone.

lastly, the tools necessary to remove those rods are quite universal.. all a surgeon may need is a 4/4.5/4.7mm hex screw driver, and a conical extractor. It is a skill most orthopedic surgeons have HOWEVER, not all orthopedic surgeons believe in removing hardware… It may sound silly but there’s two distinct school of thoughts: the hardware removers, and the non removers ..

Bottom line is: Removing the locking screws may or may not resolve the issue.

hit us back with new recent xrays and i’ll tell you if the rods are ready for removal.

Most insurances will cover the cost

Hi, thank you for your insight.. I took a new X-ray today and it seems the area right where the locking screws are on my right leg is experiencing Proximal Tibiofibular synostosis? I’ll post pics below… if anyone can give insight to what they think this might be…

https://imgur.com/a/TkmctAr

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Quote from: Anndr000 on September 24, 2021, 11:23:02 PMHi, thank you for your insight.. I took a new X-ray today and it seems the area right where the locking screws are on my right leg is experiencing Proximal Tibiofibular synostosis? I’ll post pics below… if anyone can give insight to what they think this might be…

https://imgur.com/a/TkmctAr

very interesting.

the synostosis per se should not cause you much issue, but it may be a good idea to get those rods removed.

I would be willing to bet one of those distal locking screws are irritating soft tissues.