How to Ease the Fixation of Carpal Bones? Twenty-four Lesions Treated by 1,5 mm Headless Compression Screws

Overview

Journal J Clin Orthop Trauma

Specialty Orthopedics

Date 2021 May 17

PMID 33996449

Authors

Andrea Poggetti

Chiara Suardi

Giulio Lauri

David Espen

Prospero Bigazzi

Sandra Pfanner

Affiliations

Soon will be listed here.

Abstract

Background: Carpal bone lesions are common, even in acute injuries or as sequalae of missed fractures. If not correctly diagnosed and treated, can lead to loss of function, especially in active patients. The surgical management remain difficult particularly in case of small, atypical or non-unions fragments. The treatment of heterogenic shape fractures should require a fragment specific fixation using, traditionally, Kirschner-wire (K-wire). This method of treatment remains the most popular but could be prone to some complication as: not stable fixation, need to long time immobilization and wire mobilization. Nineteen patients presented with carpal bone lesions were treated by the use of HCS 1,5 mm headless compression screws. Patients were evaluated post-operative by Patient-Rated Wrist Evaluation (PRWE), the Visual Analogic Scale (VAS), Quick-DASH Score and the grip strength was measured by Jamar dynamometer.

Results: Authors observed improvement of pain control and common activity; fine movements were restored; we observed no post-operative functional instability.

Conclusions: HCS 1,5 mm headless compression screws are suitable and smart technique to treat these uncommon fractures to achieve a stable primary fixation and allow an early mobilization and conciliate the versatility of K-wire and the compression action due to screws also in small bone fragment.

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