A tool for extracting broken or otherwise damaged screws from bone or wood includes an elongated shaft having a tool engaging head on an upper end to allow rotational force to be applied. The other end includes an opening which includes tapered cutting threads that are sized to initially pass over the screw to be removed which will cut into and hold onto the screw upon turning the tool opposite to the threads of the screw. The other end opening defines a hole saw which will cut away the bone or wood around the screw to allow the inner cutting threads to engage the screw.