Self-tapping versus standard tapped titanium screw fixation in the upper extremity

The Journal of Hand Surgery
M B Bickley, D P Hanel

Abstract

Most screws used in fracture fixation necessitate a separate step for tapping of the screw hole. Titanium screw systems have been developed in which the screws can be inserted directly after a drill hole is made. These self-tapping screws thereby eliminate an operative step. A retrospective study was conducted that evaluated all wrist and hand procedures performed between January 1992 and December 1994 by 1 surgeon using screw fixation. The results of 39 cases treated with standard tapped titanium screws were compared with 28 cases treated with self-tapping titanium screws. Nearly identical union and complication rates were obtained in each group. Comparable results can be obtained with self-tapping screw fixation, which limits the number of instruments needed, eliminates an operative step, and thereby may diminish operative risk and shorten operative time.

References

Mar 1, 1989·Plastic and Reconstructive Surgery·J H Phillips, B A Rahn
Jan 1, 1993·Injury·F W BaumgartS Snyder
Mar 1, 1994·Annals of Plastic Surgery·T A DamronM A Norden

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Citations

May 21, 2003·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Alan E FreelandShannon Singletary
Oct 21, 2000·The Journal of Hand Surgery·P J Stern
Mar 4, 2014·International Journal of Oral and Maxillofacial Surgery·R JimboP G Coelho
Sep 7, 2018·Hand : Official Journal of the American Association for Hand Surgery·Alfonso MejiaFarid Amirouche
Mar 27, 2001·Journal of Orthopaedic Trauma·S YerbyD R Carter

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