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6.5 mm Headless Compression Screw Specification, Uses, Sizes and Surgical Technique

6.5 mm Headless Compression Screw

6.5 mm Headless Compression Screw Specification

  • Headless design: Headless design of 6.5 mm Headless Compression Screw allows the screw implantation in and around articular regions with minimal soft tissue irritation or risk of interference.
  • Cannulated, for accurate insertion: Cannulated design facilitates accurate percutaneous insertion with minimal soft tissue damage.
  • Gradual compression through variable thread pitch: The wider thread pitch at the tip of the screw penetrates the bone faster than the finer trailing threads, compressing the two fragments gradually as the screw is advanced.
  • Fully threaded: Fully threaded screw provides a higher holding force resulting in increasing stability.
  • Sharp cutting flutes: Sharp cutting flutes in the screw tip facilitate screw insertion.
  • Two types of screws, Fully threaded, Partially threaded.
  • 6.5 mm Headless Compression Screw available in both Titanium and Stainless Steel.
  • 6.5 mm Headless Compression Screw available sizes are 25mm, 30mm, 35mm, 40mm, 45mm, 50mm, 55mm, 60mm, 65mm, 70mm, 75mm, 80mm, 85mm, 90mm, 95mm, 100mm, 105mm, 110mm, 115mm and 120mm.
  • Any additional length of this screw will be made on demand.
  • Instruments are available for this screw such as Bone Taps, Combined Drill & Tap Sleeve, Counter Sink, Depth Gauge, Drill Bits, Drill Guide, Drill Sleeve, Hollow Mill Screw Removal, Reverse Measuring Device, Screw Drivers and Screw Holding Forceps etc.
  • This is Self Tapping Screw. Self Tapping Screws cuts its own thread while being driven into the bone. It makes a small hole while entering the bone which creates a tight friction fit between the threads. This helps fight vibration loosening and allows the parts to be taken apart if needed.
  • Sterile and non-sterile packaging options available for Headless Compression Screws

6.5 mm Headless Compression Screw Uses

Headless Compression Screws Uses

Headless Compression Screws Uses 2

Headless Compression Screws are designed to be used in bone reconstruction, osteotomy, arthrodesis, joint fusion, fracture repair and fracture fixation of bones appropriate for the size of the device.

6.5 mm Headless Compression Screw is intended for bone fixation of the hand and foot flowing trauma or osteotomy. Self ­Tapping and reverse cutting flutes on both ends of the screw aid with insertion and removal. Tapered profile gaining compression and maximizing pull-out strength along its entire length.

6.5 mm Headless Compression Screw is used for fusions, fractures, or osteotomies of the clavicle, humerus, radius, ulna, ilium, femur, patella, fibula, tibia, talus, malleolus, and calcaneus.

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6.5 mm Headless Compression Screws Surgical Techniques

1.  PATIENT POSITIONING
Position the patient in a semi-lateral position utilizing a bean bag body positioner. The patient should be moved to the distal end of the bed and the operative leg draped free as the side up. Exertion of the operative limb should be checked prior to prep and drape to confirm that
the operative limb can be positioned on the mini c-arm during surgery.

2.  INDICATION AREA OUTLINE
The base of the fifth metatarsal is outlined, including the insertions of the peroneus brevis and tertius tendons.

3.  APPROACH AND EXPOSURE
The guide wire, .062″, for the 4.7 Screw can be positioned at the base of the fifth metatarsal under fluoroscopic guidance. A small incision is made at the base of the fifth metatarsal at the intersection of the peroneus brevis and tertius tendons. Care is made to identify and protect the sural nerve branches which run over the peroneal tendons. If necessary, fibers of the lateral aponeurosis and peroneus brevis tendon are separated and retracted away from the styloid process of the base of the fifth metatarsal. A mini Hohman Retractor is placed on the plantar
aspect of the base of the fifth metatarsal. The surgeon’s fingers can be used to reduce the fifth metatarsal fracture by placing them in between the fourth and fifth metatarsals. This closes down the fifth metatarsal fracture site during guide wire, drill, and screw placement. A guide wire is drilled from the base of the fifth metatarsal into the central portion of the metatarsal shaft. It is maintained within the intramedullary canal in order to avoid distal penetration. Confirm placement with fluoroscopy.

4.  MEASURE DEPTH
Depth is measured from the exposed portion of the guide wire with the cannulated depth gauge.

5.  ADVANCE GUIDE WIRE
After selecting the size, advance the guide wire approximately 5 mm to maintain distal pin fixation before drilling.
Caution: Make sure not to compromise distal joint surfaces when advancing the guide wire.

6.  SOFT TISSUE GUIDE PLACEMENT
Place the soft tissue guide (the guide should be used throughout) over the guide wire and open the near cortex using the appropriate cannulated profile drill.

7.  DRILL
Leaving the soft tissue guide in place, drill into the far fragment with the appropriate cannulated, long drill. Reference the markings on the drill to confirm desired depth.
Tip: The long drill is recommended to mitigate the effects of varying bone density and distraction upon screw insertion.

8.  FRACTURE COMPRESSION
In order to account for countersinking and fracture compression, a screw that measures 5 mm shorter than the measured total depth is inserted over the guide wire while protecting the soft tissues with a soft tissue guide.

9.  SCREW INSERTION
The screw is placed while under fluoroscopic guidance in order to avoid cortical penetration. Postoperative protocol: The patient is placed into a soft dressing, supported by a fiberglass splint. Patients can be made non-weight-bearing for a period of 2–6 weeks postoperatively depending upon Torg type of fracture, bone quality, and underlying morbidities.

1. Patient Positioning

Headless Compression Screws Surgical Techniques 14

2. Indication Area Outline

Headless Compression Screws Surgical Techniques 15

3. Approach and Exposure

Headless Compression Screws Surgical Techniques 16

4. Measure Depth

Headless Compression Screws Surgical Techniques 17

5. Advance Guide Wire

Headless Compression Screws Surgical Techniques 18

6. Soft Tissue Guide Placement

Headless Compression Screws Surgical Techniques 19

7. Drill

Headless Compression Screws Surgical Techniques 20

8. Fracture Compression

Headless Compression Screws Surgical Techniques 21

9. Screw Insertion

Headless Compression Screws Surgical Techniques 22

Different Types of Screws including 6.5 mm Headless Compression Screw

Locking Cortical Screws

Cortical Screws

Locking Cancellous Screws

Cancellous Screws

Locking Cannulated Screws

Cannulated Screws

Headless Screws Full Thread

Headless Screws Partially Thread

  • 2.5 mm Headless Compression Screws Partially Thread
  • 3 mm Headless Compression Screws Partially Thread
  • 3.5 mm Headless Compression Screws Partially Thread
  • 4 mm Headless Compression Screws Partially Thread
  • 4.5 mm Headless Compression Screws Partially Thread
  • 5.5 mm Headless Compression Screws Partially Thread
  • 6.5 mm Headless Compression Screws Partially Thread
  • 7.5 mm Headless Compression Screw Partially Thread

Interlocking Nail Screws

Interference Screws

  • 5 mm Interference Screw
  • 6 mm Interference Screw
  • 7 mm Interference Screw
  • 8 mm Interference Screw
  • 9 mm Interference Screw
  • 10 mm Interference Screw

Herbert Screws

Craniomaxillofacial Screws

Malleolar Screws

Bone screws are the most commonly used orthopedic implants. There are many different types and sizes of screws for different types of bones. Most bone screws are made out of stainless steel or titanium alloys. The outer diameter, root diameter, and thread pitch and angle are important in determining screw mechanics.

In orthopedics, screws are typically described by their outer diameter, for example, a “6.5 mm Headless Compression Screw” has an outside diameter of 6.5 mm. The pitch of a screw is the linear distance travelled by a screw for one full turn of the screw. The screw advances by a distance equal to the distance between the threads with each full turn. Cortical screws have a lower pitch and therefore more number of threads. Cancellous bone screws have a greater depth of the screw to increase the surface area and therefore improve the purchase, as the bone is weaker.

Screws function by converting the tightening torque into internal tension in the screw and elastic reactions in the surrounding bone. This creates compression between the fracture fragments that the screw is holding together. Screw is typically inserted into holes drilled equal to the root diameter and are either self-tapping or are inserted tapped (threaded) holes. The torque to insert cortical bone screws can be high, so the screws must be properly inserted into the correct size drilled hole and designed to withstand insertion torque levels expected in cortical bone. Cancellous bone screws have large, deep threads that grip the spongy bone well. Because of the relatively low strength of the cancellous bone, failure of the screw itself during insertion is rare, but pull out can be an issue.

6.5 mm Headless Compression Screw Contraindications

Contraindications may be qualified or total, and need to be taken into consideration when evaluating the prognosis in each case. The physician’s education, training and professional judgement must be relied upon to choose the most appropriate device and treatment. Conditions presenting an increased risk of failure include:

  • Any active or suspected latent infection or marked local inflammation in or about the affected area.
  • Compromised vascularity that would inhibit adequate blood supply to the fracture or the operative site.
  • Bone stock compromised by disease, infection or prior implantation that can not provide adequate support and/or fixation of the devices.
  • Material sensitivity, documented or suspected.
  • Obesity. An overweight or obese patient can produce loads on the implant that can lead to failure of the fixation of the device or to
    failure of the device itself.
  • Patients having inadequate tissue coverage over the operative site.
  • Implant utilization that would interfere with anatomical structures or physiological performance.
  • Any mental or neuromuscular disorder which would create an unacceptable risk of fixation failure or complications in postoperative care.
  • Other medical or surgical conditions which would preclude the potential benefit of surgery.
  • All associated diseases which could endanger the function and success of the 6.5 mm Headless Compression Screw.

Warnings and Precautionary for 6.5 mm Headless Compression Screw

Before using 6.5 mm Headless Compression Screw, the surgeon and ancillary staff should study the safety information in these instructions, as well as any product-specific information in the product description, surgical procedures and/or brochures.

Screws are made from medical grade materials and are designed, constructed and produced with utmost care. These quality screw assure best working results provided they are used in the proper manner. Therefore, the following instructions for use and safety recommendations must be observed.

Improper use of  screw can lead to damage to the tissue, premature wear, destruction of the instruments and injury to the operator, patients or other persons.

It is vital for the operating surgeon to take an active role in the medical management of their patients. The surgeon should thoroughly understand all aspects of the surgical procedure and instruments including their limitations. Care in appropriate selection and proper use of surgical instruments is the responsibility of the surgeon and the surgical team. Adequate surgical training should be completed before use of implants.

Factors which could impair the success of the operation:

  • Allergies to implanted materials.
  • Localized bone tumours.
  • Osteoporosis or osteomalacia.
  • System disease and metabolic disturbances.
  • Alcohol and drug abuse.
  • Physical activities involving excessive shocks, whereby the implant is exposed to blows and/or excessive loading.
  • Patients who are mentally unable to understand and comply with the doctor’s instructions.
  • Poor general health.

Possible Adverse Effects

The following adverse effects are the most common resulting from implantation:

  • Loosening of the screw, which may result from cyclic loading of the fixation site and/or tissue reaction of the implant.
  • Early and late infection.
  • Further bone fracture resulting from unusual stress or weakened bone substance.
  • Temporary or chronic neural damage resulting from pressure or hematomata.
  • Wound hematomas and delayed wound healing.
  • Vascular disease including venal thrombosis, pulmonary embolism and cardiac arrest.
  • Heterotopic ossification.
  • Pain and discomfort due to presence of the 6.5 mm Headless Compression Screw.
  • Mechanical failure of the implant, including bending, loosening or breakage.
  • Migration of implant resulting in injury.

Preoperative Planning for 6.5 mm Headless Compression Screw

The operating planning is carried out following a thorough clinical evaluation of the patient, Also, x-rays must be taken to allow a clear indication of the bony anatomy and associated deformities. At the time of the operation, the corresponding implantation instruments in addition to a complete size of 6.5 mm Headless Compression Screw must be available.

The clinician should discuss with the patient the possible risks and complications associated with the use of implants. It is important to determine pre-operatively whether the patient is allergic to any of the implant materials. Also, the patient needs to be informed that the performance of the device cannot be guaranteed as complications can affect the life expectancy of the device.

6.5 mm Headless Compression Screw Precautions

  • Confirm functionality of instruments and check for wear during reprocessing. Replace worn or damaged instruments prior to use.
  • It is recommended to use the instruments identified for this screw.
  • Handle devices with care and dispose worn bone cutting instruments in a sharps container.
  • Always irrigate and apply suction for removal of debris potentially generated during implantation or removal.

6.5 mm Headless Compression Screw Warnings

  • 6.5 mm Headless Compression Screw can break during use (when subjected to excessive forces). While the surgeon must make the final decision on removal of the broken part based on associated risk in doing so, we recommend that whenever possible and practical for the individual patient, the broken part should be removed. Be aware that implants are not as strong as native bone. Implants subjected to substantial loads may fail.
  • Instruments, screws and cut plates may have sharp edges or moving joints that may pinch or tear user’s glove or skin.
  • Take care to remove all fragments that are not fixated during the surgery.
  • While the surgeon must make the final decision on implant removal, we recommend that whenever possible and practical for the individual patient, fixation devices should be removed once their service as an aid to healing is accomplished. Implant removal should be followed by adequate post-operative management to avoid refracture.

6.5 mm Headless Compression Screw General Adverse Events

As with all major surgical procedures, risks, side effects and adverse events can occur. While many possible reactions may occur, some of the most common include: Problems resulting from anesthesia and patient positioning (e.g. nausea, vomiting, dental injuries, neurological impairments, etc.), thrombosis, embolism, infection, nerve and/or tooth root damage or injury of other critical structures including blood vessels, excessive bleeding, damage to soft tissues incl. swelling, abnormal scar formation, functional impairment of the musculoskeletal system, pain, discomfort or abnormal sensation due to the presence of the device, allergy or hypersensitivity reactions, side effects associated with hardware prominence, loosening, bending, or breakage of the device, mal-union, non-union or delayed union which may lead to breakage of the implant, reoperation.

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