Treatment of scaphoid waist fractures with the HCS screw

The aim of the study was to evaluate the clinical results of the Headless Compression Screw (HCS, Synthes) when used for treatment of acute scaphoid waist fractures. The new screw design generates interfragmentary compression with use of a compression sleeve. Twenty-one patients were treated for acu...

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Bibliographic Details
Published in:GMS. Interdisciplinary plastic and reconstructive surgery DGPW 2014, Vol.3, p.Doc10-Doc10
Main Authors: Gehrmann, Sebastian V, Grassmann, Jan-Peter, Wild, Michael, Jungbluth, Pascal, Kaufmann, Robert A, Windolf, Joachim, Hakimi, Mohssen
Format: Article
Language:English
Subjects:
HCS screw
percutaneous fixation
scaphoid fracture
screw fixation
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Summary:The aim of the study was to evaluate the clinical results of the Headless Compression Screw (HCS, Synthes) when used for treatment of acute scaphoid waist fractures. The new screw design generates interfragmentary compression with use of a compression sleeve. Twenty-one patients were treated for acute scaphoid waist fractures type B2 with HCS screws. The average time to the final follow-up examination was 12.8 months. All 21 fractures united after a mean time of 7.2 weeks. The mean DASH score was 7.1. The average motion of the wrist in extension was 61°, flexion was 46°, radial abduction reached 25° and the ulnar abduction was 31°. The maximally achieved grip strength was 86% compared to the uninjured side. Treatment of type B2 scaphoid fractures with the Headless Compression Screw showed good functional and radiographic results. The results are similar to those identified using other screw fixation systems.
ISSN:2193-8091
2193-8091
DOI:10.3205/iprs000051