Scaphoidfractuur - HCS (Synthes)
Scaphoidfractuur - HCS (Synthes)
Auteur: J. Sprakel - Laatste update: 24-10-2016
Scaphoidfractuur - HCS (Synthes)
Operatieverslag scaphoidfractuur Headless Compression Screw (HCS) – Synthes
Indicatie: Gedisloceerde scaphoidfractuur met comminutie rechts, Herbert B5Verslag: Time Out Procedure. Kefzol 1000mg iv. Axillair blok. Patiënt in rugligging met rechter arm in 90 graden. Huiddessinfectie middels Chloorhexidine 0,5% in alcohol 70% met Magenta. Volaire benadering. Reductie van fragmenten met 1.1mm K-draad via een separate incisie. Insertie van K-draad van distaal-radiaal naar proximaal-ulnair, waarbij de tip in de cortex van het proximale fragment komt. K-draad ligt in de centrale as van het scaphoid in zowel frontale en sagittale vlak, radiologisch gecontroleerd. Voorboren met 2.0mm Double Drill Sleeve. Meten over de K-draad. Plaatsen van 3.0mm Headless Compression Screw (HCS) – Synthes - 24mm in lengte over de K-draad. Aandraaien van HCS met T8 Stardrive Screwdriver. Reductie van fractuurgap. Aangedraaid tot rode markering. Verwijderen van K-draad. Radiologische controle met fractuur en HCS. Huid wordt gehecht met Flexocrin 3.0. Sign out procedure. 5cc bloedverlies.
Post-operatieve conclusie: Gedisloceerde scaphoidfractuur met comminutie rechts waarvoor 3.0mm Headless Compression Screw - 24mm (HCS) – Synthes
Nabehandeling:
- Oefenstabiel
- Niet belast voor 6 weken
- Over 2 weken policontrole voor hechtingen verwijderen en oefeninstructies herhalen
- Over 6 weken policontrole met X-controle
Headless Compression Screw (HCS)
| 2.4 mm Headless Compression Screws, short thread
Shaft thread (T) approximatly 20% of screw length (L) |
||||
|---|---|---|---|---|
| Stainless Steel | Titanium | Lengte (mm) | Thread lengte (mm) | |
| 02.226.209 | 04.226.209 | 9 | 4 | |
| 02.226.210 | 04.226.210 | 10 | 4 | |
| 02.226.211 | 04.226.211 | 11 | 4 | |
| 02.226.212 | 04.226.212 | 12 | 4 | |
| 02.226.213 | 04.226.213 | 13 | 4 | |
| 02.226.214 | 04.226.214 | 14 | 4 | |
| 02.226.215 | 04.226.215 | 15 | 4 | |
| 02.226.216 | 04.226.216 | 16 | 4 | |
| 02.226.217 | 04.226.217 | 17 | 4 | |
| 02.226.218 | 04.226.218 | 18 | 4 | |
| 02.226.219 | 04.226.219 | 19 | 4 | |
| 02.226.220 | 04.226.220 | 20 | 4 | |
| 02.226.221 | 04.226.221 | 21 | 4 | |
| 02.226.222 | 04.226.222 | 22 | 4 | |
| 02.226.223 | 04.226.223 | 23 | 4 | |
| 02.226.224 | 04.226.224 | 24 | 5 | |
| 02.226.225 | 04.226.225 | 25 | 5 | |
| 02.226.226 | 04.226.226 | 26 | 5 | |
| 02.226.227 | 04.226.227 | 27 | 6 | |
| 02.226.228 | 04.226.228 | 28 | 6 | |
| 02.226.229 | 04.226.229 | 29 | 6 | |
| 02.226.230 | 04.226.230 | 30 | 7 | |
| 02.226.232 | 04.226.232 | 32 | 7 | |
| 02.226.234 | 04.226.234 | 34 | 8 | |
| 02.226.236 | 04.226.236 | 36 | 9 | |
| 02.226.238 | 04.226.238 | 38 | 9 | |
| 02.226.240 | 04.226.240 | 40 | 10 | |
| 2.4 mm Headless Compression Screws, long thread
Shaft thread (T) approximatly 40% of screw length (L) |
||||
|---|---|---|---|---|
| Stainless Steel | Titanium | Lengte (mm) | Thread lengte (mm) | |
| 02.226.317 | 04.226.317 | 17 | 6 | |
| 02.226.318 | 04.226.318 | 18 | 6 | |
| 02.226.319 | 04.226.319 | 19 | 7 | |
| 02.226.320 | 04.226.320 | 20 | 7 | |
| 02.226.321 | 04.226.321 | 21 | 8 | |
| 02.226.322 | 04.226.322 | 22 | 8 | |
| 02.226.323 | 04.226.323 | 23 | 8 | |
| 02.226.324 | 04.226.324 | 24 | 8 | |
| 02.226.325 | 04.226.325 | 25 | 8 | |
| 02.226.326 | 04.226.326 | 26 | 10 | |
| 02.226.327 | 04.226.327 | 27 | 10 | |
| 02.226.328 | 04.226.328 | 28 | 10 | |
| 02.226.329 | 04.226.329 | 29 | 10 | |
| 02.226.330 | 04.226.330 | 30 | 12 | |
| 02.226.332 | 04.226.332 | 32 | 12 | |
| 02.226.334 | 04.226.334 | 34 | 14 | |
| 02.226.336 | 04.226.336 | 36 | 14 | |
| 02.226.338 | 04.226.338 | 38 | 16 | |
| 02.226.340 | 04.226.340 | 40 | 16 | |
| 3.0 mm Headless Compression Screws, short thread
Shaft thread (T) approximatly 20% of screw length (L) |
||||
|---|---|---|---|---|
| Stainless Steel | Titanium | Lengte (mm) | Thread lengte (mm) | |
| 02.226.010 | 04.226.010 | 10 | 4 | |
| 02.226.011 | 04.226.011 | 11 | 4 | |
| 02.226.012 | 04.226.012 | 12 | 4 | |
| 02.226.013 | 04.226.013 | 13 | 4 | |
| 02.226.014 | 04.226.014 | 14 | 4 | |
| 02.226.015 | 04.226.015 | 15 | 4 | |
| 02.226.016 | 04.226.016 | 16 | 4 | |
| 02.226.017 | 04.226.017 | 17 | 4 | |
| 02.226.018 | 04.226.018 | 18 | 4 | |
| 02.226.019 | 04.226.019 | 19 | 4 | |
| 02.226.020 | 04.226.020 | 20 | 4 | |
| 02.226.021 | 04.226.021 | 21 | 4 | |
| 02.226.022 | 04.226.022 | 22 | 4 | |
| 02.226.023 | 04.226.023 | 23 | 4 | |
| 02.226.024 | 04.226.024 | 24 | 5 | |
| 02.226.025 | 04.226.025 | 25 | 5 | |
| 02.226.026 | 04.226.026 | 26 | 5 | |
| 02.226.027 | 04.226.027 | 27 | 6 | |
| 02.226.028 | 04.226.028 | 28 | 6 | |
| 02.226.029 | 04.226.029 | 29 | 6 | |
| 02.226.030 | 04.226.030 | 30 | 7 | |
| 02.226.032 | 04.226.032 | 32 | 7 | |
| 02.226.034 | 04.226.034 | 34 | 8 | |
| 02.226.036 | 04.226.036 | 36 | 9 | |
| 02.226.038 | 04.226.038 | 38 | 9 | |
| 02.226.040 | 04.226.040 | 40 | 10 | |
| 3.0 mm Headless Compression Screws, long thread
Shaft thread (T) approximatly 40% of screw length (L) |
||||
|---|---|---|---|---|
| Stainless Steel | Titanium | Lengte (mm) | Thread lengte (mm) | |
| 02.226.116 | 04.226.116 | 16 | 5 | |
| 02.226.117 | 04.226.117 | 17 | 6 | |
| 02.226.118 | 04.226.118 | 18 | 6 | |
| 02.226.119 | 04.226.119 | 19 | 7 | |
| 02.226.120 | 04.226.120 | 20 | 7 | |
| 02.226.121 | 04.226.121 | 21 | 8 | |
| 02.226.122 | 04.226.122 | 22 | 8 | |
| 02.226.123 | 04.226.123 | 23 | 8 | |
| 02.226.124 | 04.226.124 | 24 | 8 | |
| 02.226.125 | 04.226.125 | 25 | 8 | |
| 02.226.126 | 04.226.126 | 26 | 10 | |
| 02.226.127 | 04.226.127 | 27 | 10 | |
| 02.226.128 | 04.226.128 | 28 | 10 | |
| 02.226.129 | 04.226.129 | 29 | 10 | |
| 02.226.130 | 04.226.130 | 30 | 12 | |
| 02.226.132 | 04.226.132 | 32 | 12 | |
| 02.226.134 | 04.226.134 | 34 | 14 | |
| 02.226.136 | 04.226.136 | 36 | 14 | |
| 02.226.138 | 04.226.138 | 38 | 16 | |
| 02.226.140 | 04.226.140 | 40 | 16 | |
Merk:
- Depuy-Synthes
2.4 mm Headless Compression Screws, short thread
Shaft thread (T) approximatly 20% of screw length (L)
2.4 mm Headless Compression Screws, long thread
Shaft thread (T) approximatly 40% of screw length (L)
3.0 mm Headless Compression Screws, short thread
Shaft thread (T) approximatly 20% of screw length
3.0 mm Headless Compression Screws, long thread
Shaft thread (T) approximatly 40% of screw length (L)
