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headless compression screw

Jill M Martin, Dylan T Applin, Linda M McGrady, Mei Wang, Gregory J Schmeling
OBJECTIVE: This study aimed to investigate the stability and strength of tension band wire fixation using headless compression screws versus headed screws for transverse patella fractures. METHODS: Six matched pairs of fresh-frozen cadaveric knees with transverse osteotomies created at the midpoint of the patella were surgically fixed, with one knee randomly receiving fixation with headless screws (Acumed Acutrak 4/5), and the other with headed screws (Synthes 4...
January 29, 2019: Journal of Orthopaedic Trauma
Paul R Rebgetz, Luca Daniele, Ian D Underhill, Andreas Öchsner, Fraser J Taylor
HYPOTHESIS: Fixation of a 3-part radial head fracture with cannulated compression screws will show equivalent stiffness to a locking plate under axial load. Debate exists regarding the management of Mason type III fractures, with many believing that open reduction and internal fixation provides advantages over other options. By virtue of their subarticular placement, screw fixation is less likely to cause impingement compared with plate fixation, which can result in loss of rotation and requirement for hardware removal...
January 24, 2019: Journal of Shoulder and Elbow Surgery
Christina M Beck, Elan Horesh, Peter J Taub
BACKGROUND: Intramedullary fixation of a comminuted subcapital metacarpal fracture using a headless compression screw was first described in 2010. The purpose of this study was to identify and evaluate all studies reporting clinical outcomes of intramedullary screw fixation of metacarpal fractures. METHODS: A comprehensive search of the literature was performed under PRISMA guidelines to identify all relevant studies. Variables included patient and fracture characteristics, surgical approach, and rehabilitation practices...
January 21, 2019: Plastic and Reconstructive Surgery
Evan P Trupia, Robert J Strauch
Management of proximal pole scaphoid nonunion remains a challenging problem. Multiple surgical techniques have been described, although no treatment has proven superior. Recent studies have questioned the need for vascularized bone grafting, even in in the setting of avascular proximal poles. We present a relatively simple technique of intramedullary autogeneous cancellous bone grafting that does not disturb the intact cortical shell of the nonunion, which has so far provided gratifying clinical results.
January 17, 2019: Techniques in Hand & Upper Extremity Surgery
Holger C Erne, P Niclas Broer, Fabian Weiss, Steffen Loew, Michael K Cerny, Daniel Schmauss, Denis C Ehrl
PURPOSE: Several operative approaches and various implants for osseous fixation have been described to achieve four-corner fusion of the wrist. Given the discordance and to aid in further standardizing the technique, this study directly compares the outcomes of K-wire, fusion plate, and headless retrograde compressive screw fixations to achieve four-corner arthrodesis. METHODS: Sixty-four patients underwent four-corner fusion over a period of 5 years and were reviewed retrospectively...
December 15, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Baver Acar, Ozkan Kose, Adil Turan, Melih Unal, Yusuf Alper Kati, Ferhat Guler
Objective: The purpose of this retrospective study was to compare the clinical and radiological results of magnesium versus titanium screw fixation for modified distal chevron osteotomy in hallux valgus (HV). Materials and Methods: A total of 31 patients who underwent modified distal chevron osteotomy for HV deformity between 2014 and 2017 were reviewed retrospectively. Headless magnesium (Mg) compression screw fixation was applied in 16 patients (17 feet) and headless titanium (Ti) compression screw in 15 patients (17 feet)...
2018: BioMed Research International
F Neubrech, A Terzis, J Seegmüller, M Sauerbier
BACKGROUND: Fractures of the scaphoid bone are common but can easily be overlooked in standard X‑rays. Inadequate diagnostics and therefore inappropriate treatment of scaphoid fractures often leads to problems in healing with formation of non-union and painful osteoarthritis of the wrist. OBJECTIVE: This review summarizes the current practical recommendations in the diagnostics and treatment of acute scaphoid fractures. METHODS: An analysis and review of selected literature including the current S3 guidelines were performed...
December 11, 2018: Der Unfallchirurg
Alisdair J Felstead, Joideep Phadnis
Articular fractures of the elbow require direct reduction and interfragmentary fixation to restore anatomic stability. The fragments are often small, with limited bone stock, hence implants are often placed through the articular surface to gain maximal purchase. Traditional techniques involve the use of countersunk cortical screws or cannulated headless compression screws. We describe a technique in which small locking screws are used independently from a plate as a substitute for headless or other traditional screws...
December 5, 2018: Techniques in Hand & Upper Extremity Surgery
S Quadlbauer, Ch Pezzei, T Beer, J Jurkowitsch, T Keuchel, C Schlintner, W Schaden, T Hausner, M Leixnering
INTRODUCTION: Scaphoid nonunion remains challenging for hand surgeons. Several treatment options are available such as: non-vascularized or vascularized bone grafting, with or without additional stabilization. In the last few decades, extracorporeal shockwave therapy (ESWT) has become an established procedure for treating delayed and nonunions. Purpose of this retrospective follow-up study was (a) to investigate union rate and clinical outcome of the different implants [either one/two headless compression screws (HCS) or a plate] and (b) union rate and clinical outcome using only surgery, or a combination of surgery and ESWT...
December 6, 2018: Archives of Orthopaedic and Trauma Surgery
James P Ledgard, Javariah Siddiqui, Matthew H Pelletier, William R Walsh, Peter J Scougall
BACKGROUND: Midcarpal arthrodesis is a treatment of choice in patients with midcarpal arthritis. Traditionally a four corner fusion has been favoured, however recent research has shown improved results when the triquetrum and scaphoid are excised. There is no clear evidence as to which remaining bones should be fused or which implants should be used. The purpose of this study is to compare the biomechanics of midcarpal arthrodesis after scaphoid and triquetrum excision, using memory staples or cannulated screws, in recognised construct patterns...
December 2018: Journal of Hand Surgery Asian-Pacific Volume
Onur Kocadal, Murad Pepe, Zafer Gunes, Ertugrul Aksahin, Semra Duran, Cem Nuri Aktekin
In this biomechanical study, the strength of five different fixation techniques -anterior tension band wiring with K-wires, separate vertical wiring, headless compression screws with anterior tension band wiring, cannulated screws with tension band wiring and memory shape patellar fixator- for distal patellar fractures were compared. Forty calf knees were used for the biomechanical testing. Each specimen was pre-loaded with 10 N at 1 N/s. The distraction forces were applied consistently with the velocity of 5 mm/s...
December 2017: Acta Orthopaedica Belgica
Cheng-Lin Wang, Jun Zhang, Kai-Xue Cao
OBJECTIVE: To discuss clinical effects of headless pressure screw with local complication of PRP in treating old metatarsal intra-articular fracture. METHODS: From January 2010 to June 2016, 7 patients with old metatarsal intra-articular fracture treated by open reduction headless compression screw internal fixation by local application PRP, including 5 males and 2 females, aged from 21 to 52 years old, 5 patients injured by falling down and 2 patients caused by crushing, the time from injury to operation ranged from 3 to 6 weeks...
October 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Sergi Barrera-Ochoa, Gerardo Mendez-Sanchez, Xavier Mir-Bullo, Jorge Knörr, Jayme Augusto Bertelli, Francisco Soldado
PURPOSE: To evaluate clinical and radiological outcomes after surgical treatment of scaphoid nonunion in adolescents with a vascularized thumb metacarpal periosteal pedicled flap (VTMPF). MATERIALS AND METHODS: Twelve patients younger than 18 years with scaphoid nonunion, who underwent a VTMPF procedure without bone grafting, were included for this prospective cohort study, at a mean follow-up of 10.2 months. Patients were operated on by 3 different hand surgeons at 3 hand surgery institutions...
October 18, 2018: Journal of Hand Surgery
Kate E Elzinga, John R Lien
CASE: A 31-year-old Caucasian man presented with a greater arc perilunate variant injury after falling from a friend's shoulders onto an outstretched hand. Imaging revealed a minimally displaced scaphoid waist fracture and a nondisplaced transverse fracture through a previously unrecognized lunotriquetral coalition. A volar intercalated segmental instability (VISI) deformity was present. Open reduction with osseous fixation (a headless compression screw for the scaphoid waist fracture and 3 Kirschner wires across the midcarpal joint) and repair of the torn volar ligaments partially restored the carpal alignment...
October 2018: Journal of Bone and Joint Surgery. American Volume
Zeke J Walton, Robert E Holmes, Shane K Woolf
Os acromiale is a failure of fusion between 1 or more ossification centers of the scapula and the acromion process. Pain can be caused by motion and impingement of the unfused segment. Several methods for the management of os acromiale have been described. Internal fixation is the most common surgical technique, followed by excision and acromioplasty. We present a novel technique for treatment of symptomatic os acromiale using arthroscopically-guided headless compression screws. This is a viable technique in the management of symptomatic os acromiale due to preservation of the periosteal blood supply and less concern for symptomatic hardware...
September 2018: American Journal of Orthopedics
Helen M A Ingoe, Jonathan F O'Hare, Alan Middleton
BACKGROUND: Arthrodesis of the distal interphalangeal (DIP) joint reliably improves symptomatic arthritis. A range of successful surgical techniques including tension band wiring, plate fixation and headless compression screws have been described and produce stable painless unions. For best functional outcome, the fusion angle should be between 10 and 61 degrees. In the past, it has been difficult to achieve more than 10 degrees of flexion with a headless compression screw. Higher fusion angles have been reported using tension band wiring techniques...
September 2018: Journal of Hand Surgery Asian-Pacific Volume
Mingyu Yang, Meiming Xie, Jicheng Gong, Binghua Zhou, Miduo Mu, Yonghua Chen, Kanglai Tang
Objective: To investigate the effectiveness of tibio-talo-calcaneal arthrodesis with full thread headless compression screws via combined minimal incisions. Methods: Between January 2012 and December 2016, 36 patients (36 feet) with ankle diseases underwent tibio-talo-calcaneal arthrodesis with parallel double thread headless compression screws via minimal anterior and lateral oblique incisions. There were 14 males and 22 females with an average age of 53.8 years (mean, 18-76 years)...
October 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
Adam M Wegner, Philip R Wolinsky, Michael A Robbins, Tanya C Garcia, Sukanta Maitra, Derek F Amanatullah
This study is the first biomechanical research of headless compression screws for fixation of vertical shear fractures of the medial malleolus, a promising alternative that potentially offers several advantages for fixation. Vertical shear fractures were simulated by osteotomies in 20 synthetic distal tibiae. Models were randomly assigned to fixation with either 2 parallel cancellous screws or 2 parallel Acutrak 2 headless compression screws (Acumed). Specimens were subjected to offset axial loading to simulate supination-adduction loading and tracked using high-resolution video...
August 2018: American Journal of Orthopedics
Baver Acar, Ozkan Kose, Yusuf Alper Kati, Omer Faruk Egerci, Adil Turan, Halil Yalcın Yuksel
PURPOSE: Scaphoid waist fractures may be fixed through volar or dorsal screw fixation. However, there is no consensus on which surgical fixation method should be performed. The purpose of this study was to compare volar versus dorsal screw fixation of scaphoid waist fractures under physiological loading conditions utilizing finite element analysis. METHODS: A transverse scaphoid waist fracture (Herbert type B2) model was fixed with a headless cannulated compression screw using either a volar or dorsal approach...
November 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Joseph J Schreiber, Lana Kang, Krystle A Hearns, Tracy Pickar, Michelle G Carlson
Background  Achieving adequate fixation and healing of small proximal pole acute scaphoid fractures can be surgically challenging due to both fragment size and tenuous vascularity. Purpose  The purpose of this study was to demonstrate that this injury can be managed successfully with osteosynthesis using a "micro" small diameter compression screw with distal radius bone graft with leading and trailing screw threads less than 2.8 mm. Patients and Methods  Patients with proximal pole scaphoid fragments comprising less than 20% of the entire scaphoid were included...
September 2018: Journal of Wrist Surgery
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