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The Headless Compression Screw - Technical challenges in scaphoid fracture fixation
Usman Ahmed1, Shahbaz Malik1, Michael David1
1The Birmingham Hand Centre, University Hospital Birmingham, Birmingham B15 2WB, United Kingdom.
Background:
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.
Methods:
We performed a retrospective review of 56 consecutive scaphoid fixations using this device in patients with both acute and chronic fractures.
Results:
Union rates were 100% in acute and 87% in chronic fractures. 16% of patients required screw removal for protrusion.
Conclusion:
Despite placement of the screw in line with technical guidance, protrusion was significant and can be a source of ongoing morbidity.
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