youll need to relieve any or as much tension from the chain as you can scott to replace the cam,the cam holds the cam wheel in place under tension,it dosent just sort of hover in mid air when the cam is removed,,has the screw broken 1234 and spinning with the nut or just sort of fouled up on those last threads and binding?if the screw is spinning itll need a new tensioner assembly,if its just binding on the threads try winding that lock nut back in and cleaning up the exposed threads?it might have even just stripped the little fragile sector gear that works the tensioner,,and once the assembly is out it might be able to be dodgy repaired(read mcguyver)back into operation and last.