Use of Surgilube to minimize metal debris in removal of jammed titanium locking screws
| Autor: | Mark S. Vrahas, Trevor M. Owen, Jacob W Brubacher |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Male
Reoperation Metallic debris Bone Screws Less invasive chemistry.chemical_element Proximal tibia Fracture Fixation Internal Distal femur Humans Medicine Device Removal Lubricants General Environmental Science Titanium business.industry Metal debris Phenylmercury Compounds Debris chemistry General Earth and Planetary Sciences Female Implant business Bone Plates Femoral Fractures Biomedical engineering |
| Zdroj: | Injury. 44:1648-1650 |
| ISSN: | 0020-1383 |
| Popis: | The Less Invasive Stabilization System (LISS; Synthes, West Chester, PA, USA) is a popular implant for managing proximal tibia fractures and distal femur fractures. However, concern has been raised with difficulty in implant removal. The locked titanium screws have a propensity to become fixed to the plate. This complication and techniques for removing the jammed screws are well described. Most of the effective techniques for removing jammed or cold-welded screws involve using a metal saw to cut the plate or carbide burr to obliterate the screwhead. Both techniques generate a significant amount of metal debris. Given that there is known soft-tissue reaction to these particles, it is sensible to remove as much of the debris as possible. However, removal of the metallic debris can be quite difficult and time consuming. The purpose of this article is to describe a novel technique to manage metal debris generated during jammed locking screw removal. Although we describe this technique for titanium locking screw removal, it is likely useful anytime implant removal generates significant debris. |
| Databáze: | OpenAIRE |
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