The Headless Compression Screw - Technical challenges in scaphoid fracture fixation.
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 27047225.
- Also identified by DOI 10.1016/j.jor.2015.10.003 and PMC identifier 4796528.
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Abstract
The Headless Compression Screw(®) (HCS) is a cannulated screw that is used for scaphoid fracture fixation. The screw generates compression across the fracture site prior to being countersunk below the articular surface. We performed a retrospective review of 56 consecutive scaphoid fixations using this device in patients with both acute and chronic fractures. Union rates were 100% in acute and 87% in chronic fractures. 16% of patients required screw removal for protrusion. Despite placement of the screw in line with technical guidance, protrusion was significant and can be a source of ongoing morbidity.