Iliosacral screw removal is occasionally necessary during index or revision pelvic ring surgery. This procedure can necessitate a two-step process: screw removal followed by retained washer removal. On attempted removal of the screw-washer complex, the washer will not uncommonly dissociate itself from the screw. Its retrieval can be challenging, add unnecessary operative time, and result in larger incisions and increased soft tissue disruptions. This article introduces a simple technique for retained washer retrieval when removing or exchanging iliosacral screws. This technique involves an "interference fit" between the retained washer and a screw or tap of larger diameter, allowing for reliable and simple washer extraction. Advantages of this technique include removal through the same soft tissue tract as initial screw insertion and subsequent screw removal. It also obviates the need for introduction of various clamps to extract the washer, which can result in soft tissue injury and increased reliance on fluoroscopy.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.3113/jsoa.2013.0330 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
[Evaluation of the 5-year clinical restoration effect of implants retained complete overdentures with Locator attachments in 48 patients].
Shanghai Kou Qiang Yi Xue
February 2024
Article Synopsis
- The study aimed to assess the long-term outcomes of implants retained complete overdentures using Locator attachments in 48 patients with no teeth.
- Over a five-year period, the implant survival rate was high at 97.25%, although some complications like peri-implant mucosal bleeding and minor bone absorption were observed.
- By the end of the study, a significant portion of implants (76.89%) showed signs of peri-implant mucosal bleeding, with the average bone loss measured at 0.58 mm, indicating some issues but overall stability in the implants.
Sustainable Filtering Systems to Reduce Microfiber Emissions from Textiles during Household Laundering.
Polymers (Basel)
July 2023
Institute of Textile Research and Industrial Cooperation of Terrassa (INTEXTER), Universitat Politècnica de Catalunya-Barcelona Tech, Colom 15, 08222 Terrassa, Spain.
During laundering, synthetic textiles (polyester, polyamide, etc.) can release small fiber debris with a length of <5 mm. These are a type of microplastics (MPs), usually referred to as microfibers (MFs), which are considered high-concern pollutants due to their continuous and cumulative entrance into the environment.
View Article and Find Full Text PDFAnterior Glenoid Reconstruction With Distal Tibial Allograft: Biomechanical Impact of Fixation and Presence of a Retained Lateral Cortex.
Orthop J Sports Med
November 2021
Steadman Philippon Research Institute, Vail, Colorado, USA.
Background: Glenoid reconstruction with distal tibial allograft (DTA) is a known surgical option for treating recurrent glenohumeral instability with anterior glenoid bone loss; however, biomechanical analysis has yet to determine how graft variability and fixation options alter the torque of screw insertion and load to failure.
Hypothesis: It was hypothesized that retention of the lateral cortex of the DTA graft and the presence of a washer with the screw will significantly increase the maximum screw placement torque as well as the load to failure.
Study Design: Controlled laboratory study.
Antibacterial Activity in Iodine-coated Implants Under Conditions of Iodine Loss: Study in a Rat Model Plus In Vitro Analysis.
Clin Orthop Relat Res
July 2021
Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan.
Background: We developed iodine-coated titanium implants to suppress microbial activity and prevent periprosthetic joint infection (PJI); their efficacy was demonstrated in animal and in vitro models. The iodine content in iodine-coated implants naturally decreases in vivo. However, to our knowledge, the effect of reduced iodine content on the implant's antimicrobial activity has not been evaluated to date.
View Article and Find Full Text PDFDevelopment and Validation of a Socioeconomic Kidney Transplant Derailers Index.
Transplant Direct
November 2019
Terasaki Research Institute, University of California, Los Angeles, Los Angeles, CA.
Unlabelled: Socioeconomic barriers can prevent successful kidney transplant (KT) but are difficult to measure efficiently in clinical settings. We created and validated an individual-level, single score Kidney Transplant Derailers Index (KTDI) and assessed its association with waitlisting and living donor KT (LDKT) rates.
Methods: The dataset included 733 patients presenting for KT evaluation in a transplant center in California.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!