A novel technique for accurate Poller (blocking) screw placement

作者:Hannah Andrew*; Aboelmagd Tariq; Yip Grace; Hull Peter
来源:Injury-International Journal of the Care of the Injured, 2014, 45(6): 1011-1014.
DOI:10.1016/j.injury.2014.02.029

摘要

Achieving good results with intramedullary nailing of oblique long bone fractures at the metaphyseal-diaphyseal junction can be difficult. There is a strong tendency for axial displacement and an association with characteristic malalignment of the short fragment. Poller or blocking screws have been shown to be effective in aiding fracture reduction. While several papers describe methods for screw placement, these are confusing to understand, difficult to follow in clinical practice and not always applicable. Here we describe a new, simple, reproducible and easy to use method for ensuring accurate Poller screw placement, in order to maximise the benefits of their use and achieve good overall results.

  • 出版日期2014-6