The Poller Screw Technique: A Method of Fine-Tuning the Reduction in Locked Nailing

Intramedullary nailing is the treatment of choice for diaphyseal fractures in long bones. However, nailing of long bone fractures at the metaphyseodiaphyseal junction is technically difficult and can cause malalignment because of the mismatch in the diameter of the bone. One of the most common and r...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2020-05, Vol.59 (3), p.638-640
Main Authors: Koller, Tobias, Mühlebach, Jonas, Livingston, Abel, Boopalan, P.R.J.V.C., Iselin, Lukas D.
Format: Article
Language:English
Subjects:
Bone Nails
Bone Screws
fixation aid
fracture
Fracture Fixation, Intramedullary - instrumentation
Fracture Fixation, Intramedullary - methods
Fractures, Malunited - surgery
Humans
intramedullary nail
poller screw
tibia
Tibial Fractures - surgery
trauma
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Summary:Intramedullary nailing is the treatment of choice for diaphyseal fractures in long bones. However, nailing of long bone fractures at the metaphyseodiaphyseal junction is technically difficult and can cause malalignment because of the mismatch in the diameter of the bone. One of the most common and recently described methods of correcting deformity during nailing is the poller screw technique. We describe a modified technique to correct malreduced fractures with the nail in situ, which we have used successfully in 3 patients.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2019.09.014