Picture 1: In case of arthroscopic screw removal it is important to fully clear the screw head from ingrown soft tissue before applying the appropriate screwdriver.

Picture 2: Radiograph showing the medial malleolar screw.

Picture 3: Picture showing the head of the malleolar screw, the type of screw head can not be seen from this angle.

When the wrong screwdriver is used, it will destroy the head thus impairing further removal: first clean the head and check it for the correct screwdriver!