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Retrieval aid for a missed free-hand interlocking screw
M J Prayson1, E J Lingenfelter
1Akron General Medical Center, Ohio, USA.
American Journal of Orthopedics (Belle Mead, N.J.)
|July 25, 1998
Summary
A novel technique using absorbable suture simplifies retrieval of interlocking screws during long bone fracture surgery. This method avoids extensive incisions and reduces radiation exposure, improving patient outcomes.
Area of Science:
- Orthopedic Surgery
- Surgical Techniques
- Biomaterials
Background:
- Interlocking screw slippage during intramedullary nailing can complicate long bone fracture repair.
- Retrieval of misplaced screws often requires extended incisions and increased radiation exposure.
Purpose of the Study:
- To present a simple, effective method for retrieving free-hand interlocking screws that have slipped during intramedullary nailing.
- To reduce surgical morbidity associated with screw retrieval.
Main Methods:
- A large absorbable suture is tied around the head of the interlocking screw.
- The suture facilitates percutaneous retrieval of the screw without extending the incision.
- The suture is broken and removed after successful screw placement.
Main Results:
- The suture technique allows for easy retrieval of misplaced screws.
- This method obviates the need for larger incisions and additional dissection.
- Reduced operative time and radiation exposure are anticipated.
Conclusions:
- Tying an absorbable suture around the screw head is a valuable technique for managing misplaced interlocking screws.
- This approach simplifies screw retrieval, minimizes surgical invasiveness, and reduces patient radiation exposure.