Due to the aforementioned characteristics, the fracture typically resembles: Salter-Harris 3 fracture on AP Salter-Harris 2 fracture on lateral Small dislocations and the vertical fracture itself are frequently overlooked, and CT is advised if there is concern. Many patients with high-energy trauma will have a whole body CT, allowing initial assessment of the femoroacetabular joint as well as any other injuries that are likely to be present, given the typically high energy mechanism of injury 2. Most of these fractures are treated with a hard-soled shoe or walking cast. This collection of published literature represents clinical evidence, which along with innovation, education, and quality form Acumeds foundations of excellence. A subsequent analysis of the SAFHS tibial fracture study showed that greater reductions in fracture healing time were achieved in patients with a history of smoking, with the greatest reductions in fracture healing time occurring in current smokers (Cook et al, 1997). Check for errors and try again. The Judet and Letournel systemfor acetabular fractures is the most widely used classification system in clinical practice. Fractures of the Pelvis and Acetabulum. Over 1.7 million Acutrak family screws implanted since 1994, supported by more than 100 clinical and biomechanical studies. Watch video, see clinical and biomechanical evidence, and explore case studies. Injury to these reinforcing soft tissue structures is thought to predispose to recurrent dislocation 7.. Documents Twenty-three patients with AO type- B2 ankle fractures treated with lateral fixation by an APCS were retrospectively reviewed. Elbow Arthroscopic-assisted tibial plateau fracture fixation with interference screw. suture anchor tendon repair. The tuberosity avulsion fracture (also known as pseudo-Jones fracture or dancer's fracture is a common fracture of the fifth metatarsal (the bone on the outside edge of the foot extending to the little toe). 1. This is usually at the ligament-bone junction of the patellar ligament and the tibial tuberosity. Mallet finger refers to injuries of the extensor mechanism of the finger at the level of the distal interphalangeal joint (DIP).They are the most prevalent finger tendon injury in sport. This animated overview of the Acutrak 2 Headless Compression Screw System illustrates how the system is designed to treat fractures, fusions, and osteotomies of the upper and lower extremities. The imaging modality of choice, permitting identification of; The highest resistance to torsional loading compared to AO and Herbert screws in cadaveric and synthetic bone material.1, Contact Info The Acumed Acutrak 2 Mini incorporates the same design principles as the rest of the Acutrak 2 family of screws, with a smaller diameter and shorter lengths. ExploretheAcutrakAdvantage. and a type of avulsion fracture called a Segond fracture. It offers several advantages including stable fixation, a small surgical wound, less dissection of soft tissue, a headless device without palpable hardware, and easy applications with a short operating time.. By Section: Is ultrasound a reliable and precise measure of sternal micromotion in acute patients after cardiac surgery? Acutrak 2 Standard screws are inserted with a 2.5 mm hex driver over a .054" guide wire. WebSingle stage ACL avulsion fracture fixation, repeat PCL reconstruction and medial meniscus root repair. From straightforward to specialized solutions, Acumed l OsteoMed offers a comprehensive portfolio of upper extremity fixation and specialty plates. The initial assessment is often with a portable AP radiograph of the pelvis in the emergency department. It is described in many regions but the term subchondral insufficiency fracture of "femoral head" was coined by Bangil et al in 1996 7. Biomechanical studies have shown that fully threaded screws better handle the cyclic loading that may occur during healing. Patella and tibial tuberosity via the patellar ligament: Femoral artery: Femoral nerve: Extension of the knee: Hamstring: but a torn ACL requires surgery. Acetabular fractures are a type of pelvic fracture, which may also involve the ilium, ischiumor pubisdepending on fracture configuration. 2019 FORE/AANA World Series of Live Surgery (Prev. posterior wall fracture >45-50%), elderly patients with significant osteopenia/comminution or pre-existing arthritis, post-traumatic arthritis in any age group. 6. The Acutrak 2 Standard is designed for the fixation of small bone fractures and joint fusions, where a 3.5 mm - 4.0 mm headed screw or an equivalent-sized headless screw would otherwise be required. This fracture is likely caused by the lateral band of the plantar aponeurosis (tendon).. " data-widget-type="deal" data-render-type="editorial" data-viewports="tablet" data (2007) Journal of orthopaedic trauma. Differential diagnosis. American journal of roentgenology. With instrumentation designed to simplify the surgical technique, the Acutrak 2 - 5.5 is composed of 8 unique screw size options to fit a wide variety of applications throughout the body. Indications for the Acutrak 2 - 7.5 include: ankle arthrodesis, triple arthrodesis, talonavicular fusion, calcaneal osteotomy, subtalar fusion, TMT fusion, calcaneocuboid fusion, hindfoot arthrodesis, greater tuberosity fractures, tibial plateau fractures, and femoral condyle fractures. Chapter 28: Surgical Techniques for Acetabular Fractures. They are not intended for interference or soft tissue fixation. The common criteria of any hamstring muscles are: Muscles should originate from ischial tuberosity. A Hill-Sachs defect is the terminology of preference over other terms, such as Hill-Sachs lesions, and Hill-Sachs fractures 14.. Repeat dislocations lead to larger defects, which can result in an "engaging" Hill-Sachs defect, which engages the anterior glenoid when the shoulder is abducted and externally rotated 4 (see article: on-track and off-track (2003). Humanitarian Aid Hand & Wrist: Acutrak 2 Micro, Mini, and Standard are intended for use as fixation devices for small bones, bone fragments, and osteotomies. The Acumed Acutrak 2 Headless Compression Screw System is the latest evolution in fully threaded headless screw fixation, with intuitive instrumentation designed to simplify the surgical technique. Conservatively treated acetabular fractures: A retrospective analysis. can be protected with a cerclage wire or nonabsorbable tape between patella and tibial tuberosity. Non-operative management 6 may be indicated in the setting of minimally displaced fracture. After diagnosis, oblique pelvic views (Judet views) may be used for follow up. Marmon UK tax strategy, OsteoMed is a wholly-owned subsidiary of Acumed, Products It is more common in developing countries. For those patients with pelvic insufficiency fractures involving the acetabulum, a standard CT with a bony algorithm may be useful, especially if operative management is under consideration. The Acutrak 2 Micro is designed for the fixation of small bones and fracture fragments, where a 2.0 mm - 2.4 mm headed cruciform screw or an equivalent-sized headless screw would otherwise be required. However, in some cases, open reduction and internal fixation are required. Videos Chen SH, Huang CR, Hsu TL, Lee YS. The failure of bone most commonly results from an acute event with the application of usually sudden, tensile force to the bone through the soft WebPrevalent during growth spurts, it is more common in athletes vs. nonathletes (21% vs. 4.5%, respectively). Firoozabadi R, Alton T, Sagi H. Heterotopic Ossification in Acetabular Fracture Surgery. CT. March - April 2015. The Acutrak plus compression screw (APCS) (Acumed Inc., Beaverton, OR, USA) is an intramedullary implant which can achieve stable fixation with minimum soft tissue dissection. 2. Shoulder, Resources Harris JH, Lee JS, Coupe KJ, Trotscher T. Acetabular fractures revisited: part 1, redefinition of the Letournel anterior column. The Acumed Acutrak 2 Mini incorporates the same design principles as the rest of the Acutrak 2 family of screws, with a smaller diameter and shorter lengths. Marvin Tile, David Helfet, James Kellam. The Journal of Foot & Ankle Surgery is the leading source for original, clinically-focused articles on the surgical and medical management of the foot and ankle. The reason is due to the stickiness of clay. The body repairs the fractures by laying down extra bone tissue. After surgery, recovery is prolonged and low impact exercises are recommended to strengthen the joint. Acetabular fracture. The differential diagnosis of subchondral marrow edema includes: osteoarthritis; stress response; marrow contusion; transient osteoporosis; See also. Narender Kumar Magu, Rajesh Rohilla, Sanjay Arora. fracture through the adjacent humeral metaphysis; Radiology report. (2014) RadioGraphics. Originally described in Australia, among clay shovelers. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Hip & Pelvis The Acutrak 2 - 4.7 are available in lengths up to 50 mm, are inserted with a 3.0 mm hex over a .062" guide wire and are color-coded for easy identification in the surgery room. Prevalent during growth spurts, it is more common in athletes vs. nonathletes (21% vs. 4.5%, respectively). The Acutrak 2 - 5.5 screws are available in lengths up to 60 mm and inserted with a 3.0 mm hex driver over a .062" guide wire. Clavicular fractures are common and account for ~5% (range 2.6-10%) of all fractures 2,3.They usually require minimal treatment, which relies on analgesia and a collar-and-cuff. (2004) AJR. Measurement The Insall-Salvati ratio was initially determined on a 30 flexed lateral knee x-ray and was later applied to sagittal MRI. Acutrak 2 Headless Compression Screw System, Acutrak System, Acutrak 2 System, Hammertoe Fusion Set 510K, A Complete Selection Trimalleolar Fracure Solutions Brochure, Acutrak Headless Compression Screw Solutions Brochure, Comprehensive Hand Fracture Solutions Brochure, Left Calcaneus Fracture Open Reduction and Internal Fixation (ORIF) - Acutrak Headless Compression Screws and Callos Bone Void Filler Case Study, Acutrak 2 Headless Compression Screw System Lower Extremity Key Publications, Acutrak 2 Headless Compression Screw System Upper Extremity Key Publications, Acutrak 2 Field Guide - Bunions and Forefoot Reconstruction, Acutrak 2 Supplemental Use Guide - Calcaneal Osteotomy, Acutrak 2 Supplemental Use Guide - Dorsal Scaphoid, Acutrak 2 Supplemental Use Guide - Foot and Ankle, Acutrak 2 Supplemental Use Guide - Four Corner Fusion, Acutrak 2 Supplemental Use Guide - Hand and Wrist, Acutrak 2 Supplemental Use Guide - Medial Lateral Malleolus, Acutrak 2 Supplemental Use Guide - Proximal Fifth Metatarsal (Jones) Fracture, Acutrak 2 Supplemental Use Guide - Triple Arthrodesis, Supplemental Use Guide - Intramedullary Fixation of Metacarpal Fractures: Antegrade Approach, Supplemental Use Guide - Intramedullary Fixation of Metacarpal Fractures: Retrograde Approach, Tcnica de extraccin de tornillos Acutrak, Acutrak 2 Screw System Value Analysis Resource Guide, A Heritage of Healing: Acutrak Technology for Headless Compression Screws, Compression and Insertion Torque Comparison between Acumed Acutrak 2 Mini and Arthrex 3.5 mm Mini Compression FT Headless Compression Screws, Compression and Insertion Torque Comparison of Acumed to Arthrex Headless Compression Screws, Solutions for Simple to Complex Trimalleolar Injuries, Hand Fracture Solutions That Have You Covered, Explore Acumed | OsteoMed Hand Fracture Solutions, Profile Zero Low Profile Neuro Plating System, Profile Plus Standard Profile Plating System, ExtremiFix Cannulated Screw System | Mini & Small, ExtremiFix Cannulated Screw System | Midsize & Large, Lateral Fixation of AO Type-B2 Ankle Fractures: the Acutrak Plus Compression Screw Technique, Headless Compression Screw Fixation Prevents Symptomatic Metalwork in Arthroscopic Ankle Arthrodesis, Torsional Stiffness After Subtalar Arthrodesis Using Second Generation Headless Compression Screws: Biomechanical Comparison of 2-Screw and 3-Screw Fixation, A Comparison of Two Headless Compression Screws for Operative Treatment of Scaphoid Fractures, Acutrak vs Herbert Screw Fixation for Scaphoid Nonunion and Delayed Union, Arthrodesis of the Thumb IPJ and Finger DIPJ with a Headless Compression Screw. if the fracture fragment is displaced, then surgery is necessary to allow for normal function. Mechanism. The Acutrak 2 Standard is designed for the fixation of small bone fractures and joint fusions, where a 3.5 mm - 4.0 mm headed screw or an equivalent-sized headless screw would otherwise be required. ~2% following surgery. In some cases, bone may become partially dislodged (partial avulsion fracture). seen in skeletally immature. Indications for non-operative management include: Operative treatment may consist of open reduction and internal fixation (ORIF)7or total hip arthroplasty. This results in sudden forces on the neck and back muscles leading to the avulsion fracture. The Acutrak and Acutrak 2 screws have revolutionized headless fixation with a uniquely patented thread pitch that varies continuously from tip to tail. pp 541. Indications for the Acutrak 2 5.5 include Jones fractures, distal radius fractures, talus fractures, malleolar fractures, midfoot fusions, MTP fusions, and more. T: 888.627.9957 Available in six different families for a total of 68 different screws, addressing applications throughout the upper and lower extremities. They are frequently related to sports, with lesions such as the mallet finger and the Jersey finger.When associated with a crush injury, open fracture is more likely. Clin Orthop Relat Res. It is the avulsion fracture of the bony protuberance (tubercle) present at the lower end of shin bone (tibia) due to the pull of the ligament running between the two shin bones (the anteroinferior tibiofibular ligament). 2010;34(6):903-907. Initial treatment will include analgesia and venous thromboembolism prophylaxis. Marsh JL, Slongo TF, Agel J, Broderick JS, Creevey W, DeCoster TA, Prokuski L, Sirkin MS, Ziran B, Henley B, Audig L. Fracture and dislocation classification compendium - 2007: Orthopaedic Trauma Association classification, database and outcomes committee. The aim of the surgery is to repair the knee damage caused by patellar dislocation and to correct the primary anatomical anomaly. tibial branch of sciatic nerve: semimembranosus, semitendinosus, long head of biceps femoris. Causes of Osgood-Schlatter syndrome Some of the causes of Osgood-Schlatter syndrome may include: A tibial eminence fracture, also known as a tibia spine fracture, is an intra-articular fracture of the bony attachment of the ACL on the tibia that is most commonly seen in children from age 8 to 14 years during athletic activity. The broken bone needs to be realigned (reduction). 46 (1): 36. Criteria. Differential diagnosis. Good to excellent results were obtained in 21 (91.3%) patients. Wheeler DL, McLoughlin SW. Biomechanical assessment of compression screws. tibial branch of sciatic nerve: semimembranosus, semitendinosus, long head of biceps femoris. Treatment requires either a tibial tuberosity osteotomy and re-implantation proximally or patellar tendon lengthening. The Bado classification is used to subdivide the fracture-dislocation into four types which all have different treatment options and prognoses and is based on the principle that the direction in which the apex of the ulnar [1][2] Avulsion fractures can occur in any area where soft tissue is attached to bone. The Acumed Acutrak 2 - 7.5 is part of the latest evolution in fully-threaded headless screw fixation. OsgoodSchlatter disease causes pain in the front lower part of the knee. As clay shovelers lift the shovel upwards to toss the clay from deep ditches, the clay tends to stick to the shovel. The Acutrak fully threaded continuously variable thread pitch screw design provides greater compression and a larger window of compression as compared to partially threaded Herbert style screw designs.1 In addition, this feature allows a fracture or osteotomy site to lie almost anywhere along the length of the screw. This can be done either through surgery (open reduction) or by force (closed reduction). (Veerapat Sirisopikun) VDO8. It classifies fracture based on oblique pelvic view on plain radiographs. This fracture is likely caused by the lateral band of the plantar aponeurosis (tendon). The highest amount of retained compression after cyclic loading1. Foot & Ankle Int Orthop. It is affected by the presence of tibial tuberosity abnormalities (e.g. 8. FIgure 1: acetabular radiological anatomy, Case 6: anterior and posterior column fractures, Orthopedic Trauma Association classification, open reduction and internal fixation (ORIF), Gustilo Anderson classification (compound fracture), Anderson and Montesano classification of occipital condyle fractures, Traynelis classification of atlanto-occipital dissociation, longitudinal versus transverse petrous temporal bone fracture, naso-orbitoethmoid (NOE) complex fracture, cervical spine fracture classification systems, AO classification of upper cervical injuries, subaxial cervical spine injury classification (SLIC), thoracolumbar spinal fracture classification systems, AO classification of thoracolumbar injuries, thoracolumbar injury classification and severity score (TLICS), Rockwood classification (acromioclavicular joint injury), Neer classification (proximal humeral fracture), AO classification (proximal humeral fracture), AO/OTA classification of distal humeral fractures, Milch classification (lateral humeral condyle fracture), Weiss classification (lateral humeral condyle fracture), Bado classification of Monteggia fracture-dislocations (radius-ulna), Mason classification (radial head fracture), Frykman classification (distal radial fracture), Hintermann classification (gamekeeper's thumb), Eaton classification (volar plate avulsion injury), Keifhaber-Stern classification (volar plate avulsion injury), Judet and Letournel classification (acetabular fracture), Harris classification (acetebular fracture), Young and Burgess classification of pelvic ring fractures, Pipkin classification (femoral head fracture), American Academy of Orthopedic Surgeons classification (periprosthetic hip fracture), Cooke and Newman classification (periprosthetic hip fracture), Johansson classification (periprosthetic hip fracture), Vancouver classification (periprosthetic hip fracture), Winquist classification (femoral shaft fracture), Schatzker classification (tibial plateau fracture), AO classification of distal femur fractures, Lauge-Hansen classification (ankle injury), Danis-Weber classification (ankle fracture), Berndt and Harty classification (osteochondral lesions of the talus), Sanders CT classification (calcaneal fracture), Hawkins classification (talar neck fracture), anterior superior iliac spine (ASIS) avulsion, anterior cruciate ligament avulsion fracture, posterior cruciate ligament avulsion fracture, avulsion fracture of the proximal 5th metatarsal, high-energy trauma: axial loading of the femur, iliopectineal line: disrupted in fractures involving the anterior column, ilioischial line: disrupted in fractures involving the posterior column, iliac oblique view for the posterior pelvic column and anterior acetabular wall, obturator oblique view for the anterior pelvic column and posterior acetabular wall, out of traction congruency between femoral head and weight bearing roof, displaced fracture with roof arcs > 45 in AP and Judet views or >10 mm on axial CT cuts, articular incongruence/displaced fracture (>2 mm), significantly distorted acetabular roof arc, entrapped intra-articular fragment/loose bodies, unstable fracture pattern (e.g. The average wound incision was 4.1 cm. Barton fractures extend through the dorsal aspect to the articular surface but not to the volar aspect. 3. (Yu Meng Teo) VDO7. The proposed classification of Essex-Lopresti fracture-dislocation is based on the severity of radial head fracture 5. type I: large fragments; type II: comminuted; type III: chronic injury with proximal migration of the radial head; Pathology. The characteristics of the APCS include fully-threaded length, headless, cannulated, and variable thread pitch. See how Acumed Foot and Ankle products provide solutions to treat these often challenging cases. Skeletal traction may not be required if the fracture pattern is stable and the fracture is outside the weight bearing zone. Smith fractures, also known as Goyrand fractures in the French literature 3, are fractures of the distal radius with associated volar angulation of the distal fracture fragment(s). AdvaMed Code of Ethics ; Muscle will participate in flexion of the knee joint and extension of the hip joint. It is described in many regions but the term subchondral insufficiency fracture of "femoral head" was coined by Bangil et al in 1996 7. number of anchors debatable. Mechanism. The Acutrak 2 - 5.5 is part of the latest evolution in fully-threaded headless screw fixation. They represent > 50% of all phalangeal fractures and frequently involve the ungual tuft 1.. avulsion of ischial tuberosity. less common. British volume. Innovate With Us Acutrak 2 Micro screws are available in lengths up to 30 mm, are inserted with a 1.5 mm hex over a .035" guide wire and are color-coded for easy identification in the surgery room. Additional classification systems include: ADVERTISEMENT: Supporters see fewer/no ads. Due to the aforementioned characteristics, the fracture typically resembles: Salter-Harris 3 fracture on AP Salter-Harris 2 fracture on lateral Small dislocations and the vertical fracture itself are frequently overlooked, and CT is advised if there is concern. Therefore, it ; Muscles should be inserted over the knee joint, in the tibia or in the fibula. Contact Us The tibial tuberosity is a slight elevation of bone on the anterior and proximal portion of the tibia.The patellar tendon attaches the anterior quadriceps muscles to the tibia via the knee cap. An avulsion fracture is a failure of bone in which a bone fragment is pulled away from its main body by soft tissue that is attached to it. The Acutrak Headless Compression Screw technology has shown greater push-out strength, greater resistance to cyclic loading, and greater resistance to torsional loading when compared to differential pitch screw technology.1. Unable to process the form. Locate A Rep, Compliance About Acumed Research The term is sometimes used to describe intra-articular fractures with Acetabular fractures are uncommon. Social Responsibility, Copyright 2022 Acumed LLC, a Colson Medical | Marmon | Berkshire Hathaway company. Each thread engages bones faster than its trailing thread, generating gradual compression along the entire length of the screw. Acetabular Fractures: What Radiologists Should Know and How 3D CT Can Aid Classification. UDI Lookup, Events The operative time was 25.3 minutes. Report A Complaint Traction (either skin or skeletal traction) is usually a temporary solution when surgery is required. 87 (7): 969-73. They may represent an isolated tendinous injury or occur in combination with an avulsion fracture of the dorsal base of the distal phalanx. Trimalleolar fractures involve the lateral malleolus, the medial malleolus, and the posterior malleolus. 1. (Tanakorn Chaichana) VDO9. The Knee is an international journal publishing studies on the clinical treatment and fundamental biomechanical characteristics of this joint.The aim of the journal is to provide a vehicle relevant to surgeons, biomedical engineers, imaging specialists, materials scientists, rehabilitation personnel and all those with an interest in the knee. Indications for the Acutrak 2 Mini include: scaphoid fractures and nonunions, bunionectomies, radial styloid fractures, radial head fractures, avulsion fractures, carpal fusions, MCP fusions, OCD repair, and Phalangeal fractures. In addition to stating that a medial epicondylar fracture is present, a number of features should be sought and commented upon: avulsion. 182 (6): 1367-75. With instrumentation designed to simplify the surgical technique, the Acutrak 2 - 4.7 is composed of 10 unique screw size options to fit a wide variety of applications throughout the body. (2012) Indian Journal of Orthopaedics. Skeletal traction may not be required if the fracture pattern is stable and the fracture is outside the weight bearing zone. less common. 35(2). The talar neck is the most frequently injured site and the talus is the second most injured bone in the foot (calcaneus is first). Step-by-step animated instructions of Acumed's recommended surgical procedure using the Acutrak 2 Standard screw to reduce a radial styloid fracture, and secure it in order to maintain reduction and rotational stability. Strictly speaking, a "Bankart lesion" refers to an injury of the labrum and associated glenohumeral capsule/ligaments (see History and etymology below). Scheinfeld M. H. et al. 4. The Acutrak 2 - 7.5 is available in sizes from 40 mm to 120 mm and is inserted using a 4.0 mm hex driver over a .094" guide wire. In conclusion, lateral fixation of AO type-B2 ankle fractures by APCS offers several advantages including stable fixation, a small surgical wound, less dissection of soft tissue, no palpable hardware, and easy application with a short operating time. Typically, Monteggia fracture-dislocations occur as the result of a fall onto an outstretched hand (FOOSH) 4.. The reported incidence is approximately 3 per 100,000 per year. The term "bony Bankart" (contrasted with a "soft Bankart" or "fibrous Bankart") is often used to refer 360 Rotation (mobile users tap to show/animate). Typically, Monteggia fracture-dislocations occur as the result of a fall onto an outstretched hand (FOOSH) 4.. Hand & Wrist The Acutrak 2 System may help minimize drill depth sensitivity and offers 68 unique screw size options to fit a wide variety of applications throughout the body. Close radiographic follow-up is required. Non-operative management 6 may be indicated in the setting of minimally displaced fracture. Total ruptures may require high ankle sprain surgery followed by cast immobilization for up to eight weeks and then partial weight bearing for an additional three to four weeks. A repeat CT after traction is sometimes used to assess response to treatment. [1][2] Avulsion fractures can occur in any area where soft tissue is attached to bone. The imaging modality of choice, permitting identification of; 182 (6): 1363-6. Distal phalanx fractures are among the most common fractures in the hand.. Chest Wall Who complained of pain and limited range of motion of the elbow. The result is a larger than normal bump at the tibial tuberosity. Orthobiologics Grants Traction (either skin or skeletal traction) is usually a temporary solution when surgery is required. The fracture complex results from a direct blow to the malar eminence and results in three distinct fracture components that disrupt the anchoring of the zygoma. With instrumentation designed to simplify the surgical technique, the Acutrak 2 - 7.5 is composed of 17 unique screw size options to fit a wide variety of applications throughout the body. Arthroscopic-assisted tibial plateau fracture fixation with interference screw. Barton fractures are fractures of the distal radius.It is also sometimes termed the dorsal type Barton fracture to distinguish it from the volar type or reverse Barton fracture.. Barton fractures extend through the dorsal aspect to the articular surface but not to the volar aspect. distal avulsion from the tibial tubercle. The Acutrak 2 Micro incorporates the same design principles as the rest of the Acutrak 2 family of screws. The Acutrak 2 Mini is designed for the fixation of small bone fractures and joint fusions, where a 3.5 mm - 4.0 mm headed screw or an equivalent-sized headless screw would otherwise be required. Single stage ACL avulsion fracture fixation, repeat PCL reconstruction and medial meniscus root repair. News Lateral fixation of AO type-B2 ankle fractures: the Acutrak Plus compression screw technique. An animated version of Acumed's recommended scaphoid fracture surgical technique using the Acutrak 2 Mini Screw to effectively reduce and secure the fractured scaphoid, and maintain rotational stability. Case 16: avulsion fracture of the lesser tuberosity of the humerus Case 16: avulsion fracture of the lesser tuberosity of the humerus. Acutrak 27.5 may be used for fusions, fractures, or osteotomies of the clavicle, humerus, radius, ulna, ilium, femur, patella, fibula, tibia, talus, malleolus, and calcaneus. ; Muscles will be innervated by the tibial branch of the sciatic nerve. Harris JH, Coupe KJ, Lee JS, Trotscher T. Acetabular fractures revisited: part 2, a new CT-based classification. The Bado classification is used to subdivide the fracture-dislocation into four types which all have different treatment options and prognoses and is based on the principle that the direction in which the apex of the ulnar fracture points is the same Treatment is closed reduction and casting or open reduction and fixation depending on the degree of displacement and whether it can be reduced. J Am Acad Orthop Surg. These include: CT has revolutionised the diagnosis, enabling precise delineation of the fracture configuration and assessment of any articular surface disruption. The failure of bone most commonly results from an acute event with the application of usually sudden, tensile force to the Richard S. Moore, M.D., uses the Acutrak 2 Micro Screws to treat an acute right radial head fracture in a 64-year-old woman following a mechanical fall onto an outstretched hand. may miss up to 50% of rib fractures even with dedicated oblique rib projections 1; Ultrasound This study reported a 63% to 37% male to female ratio 1. They are not intended for interference or soft tissue fixation. The Acutrak 2 - 4.7 are available in lengths up to 50 mm, are inserted with a 3.0 mm hex over a .062" guide wire and are color-coded for easy identification in the surgery room. The Acutrak 2 Standard is extremely versatile, with a variable thread pitch and fully-threaded length that can provide excellent compression for the patient. degree of displacement; location of the displaced fragment; presence of a fracture of the adjacent humeral metaphysis Privacy Policy The topics covered include, Screw & Pin 2019 FORE/AANA World Series of Live Surgery (Prev. The Acutrak 2 System is routinely used in a number of lower-extremity fracture fixations, including those featured below. 2017;25(2):117-24. fractures involving a single facial buttress, Meyers and McKeevers classification (anterior cruciate ligament avulsion fracture), Watson-Jones classification (tibial tuberosity avulsion fracture), Nunley-Vertullo classification (Lisfranc injury), pelvis and lower limb fractures by region. The Acutrak 2 Micro is designed for the fixation of small bones and fracture fragments, where a 2.0 mm - 2.4 mm headed cruciform screw or an equivalent-sized headless screw would otherwise be required. (Yu Meng Teo) VDO7. The Acutrak 2 Headless Compression Screw System includes the Acutrak 2 Micro, Acutrak 2 Mini, Acutrak 2 Standard, Acutrak 2 - 4.7, Acutrak 2 - 5.5, Acutrak 2 - 7.5. Laird A., Keating J. F.. Acetabular fractures. seen in skeletally immature. At the final follow-up, the ankle scores of the patients were evaluated for functional outcomes. Dual femoral fixation with internal brace augmentation in PCL reconstruction. Trainings (2005) The Journal of Bone and Joint Surgery. E: info@acumed.net Indications for the Acutrak 2 - 4.7 include: Jones fractures, distal radius fractures, talus fractures, malleolar fractures, midfoot fusions, MTP fusions, greater tuberosity fractures, scaphoid fractures, and nonunions, carpal fusions, radial styloid fractures, MCP fusions, capitellum fractures, tarsal fractures, midfoot fusions, OCD repair, and osteotomies. 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