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• W2398030906 abstract "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. Die Headless Compression Screw (HCS, Synthes) ist eine Weiterentwicklung der Herbert-Whipple-Schraube und kann zur perkutanen Behandlung von Skaphoidfrakturen eingesetzt werden. Das modifizierte Schraubendesign soll den interfragmentären Druck durch Anwendung einer Kompressionshülse erhöhen. In dieser Studie wurden die klinischen und radiologischen Ergebnisse nach Schraubenosteosynthese durch die HCS bei Skaphoidfrakturen des mittleren Drittels analysiert. In die retrospektiven Studie wurden 21 Patienten nach HCS-Schraubenosteosynthese bei akuter Skaphoidfraktur (Typ B2 n. Herbert) aufgenommen. Die Nachuntersuchung wurde nach 12,8 Monaten durchgeführt.Alle 21 Skaphoidfrakturen heilten knöchern nach durchschnittlich 7,2 Wochen aus. Der mittlere DASH Score betrug 7,1 Punkte, die Handgelenkbeweglichkeit in Extension 61°, in Flexion 46°, in Radialabduktion 25° und in Ulnarabduktion 31°. Die Griffkraft lag bei 86% im Vergleich zur gesunden Gegenseite.Die Behandlung der Skaphoidfraktur des mittleren Drittels mit der HCS-Schraube führte zu guten funktionellen und radiologischen Ergebnissen, die vergleichbar sind mit denen ähnlicher Schraubensysteme." @default.
• W2398030906 created "2016-06-24" @default.
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• W2398030906 date "2014-01-01" @default.
• W2398030906 modified "2023-10-14" @default.
• W2398030906 title "Treatment of scaphoid waist fractures with the HCS screw." @default.
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• W2398030906 doi "https://doi.org/10.3205/iprs000051" @default.
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