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Single Versus Dual Headless Compression Screw Fixation of Scaphoid Nonunions: A Biomechanical Comparison.

Luke T NicholsonKristen M SocholAli AzadRam Kiran AlluriJ Ryan HillAlidad Ghiassi
Published in: Hand (New York, N.Y.) (2021)
Single- and double-screw fixation constructs in a cadaveric scaphoid nonunion model demonstrate similar construct stiffness, load to failure, and load to 1- and 2-mm displacement. Modes of failure may differ between constructs and represent an area for further study. The theoretical benefit of dual-screw fixation should be weighed against the morphologic limitations to placing 2 screws in a scaphoid nonunion.
Keyphrases
  • minimally invasive
  • finite element analysis
  • ultrasound guided