From the Harvard Combined Orthopaedic Residency Program (Dr. Riedel, Dr. Cronin, and Dr. Kaiser), and the Department of Orthopaedic Surgery (Dr. Kwon), Beth Israel Deaconess Medical Center, Boston, MA.
J Am Acad Orthop Surg. 2019 Jan 15;27(2):e92-e95. doi: 10.5435/JAAOS-D-17-00658.
Removal of previously placed orthopaedic implants is a commonly performed procedure worldwide. Given the diversity of orthopaedic implant manufacturers, surgeons may be uncertain whether they have the appropriate screwdriver on site. The purpose of this study was to assess the compatibility of screw head and size configurations from various orthopaedic manufacturers with two commonly used universal screw removal sets.
Inclusion of orthopaedic implant manufacturers was determined by market share based on industry-monitoring financial firms. Screw size and drive type for the top grossing orthopaedic implant manufacturers were collected and recorded. Screw and screwdriver compatibility was assessed and compared with two commonly used universal screw removal sets.
In total, six orthopaedic implant companies with commonly implanted screws throughout the appendicular skeleton were included. The data were compiled in table format with noncannulated, cannulated, and locking screw offerings separated by the screw size and manufacturer. Guidewire size compatibility for cannulated offerings was also assessed.
Given the ubiquity of implanted orthopaedic implant, removal must be as safe, planned, and controlled as possible. The data in this article provide an inclusive, centralized resource for surgeons looking to confirm the compatibility of previously implanted screws and available removal equipment at their institution.
去除先前植入的骨科植入物是全球范围内常见的手术。鉴于骨科植入物制造商的多样性，外科医生可能不确定他们是否在现场拥有合适的螺丝刀。本研究的目的是评估两种常用通用螺丝刀拆卸套件与各种骨科制造商的螺钉头和尺寸配置的兼容性。
根据行业监测金融公司的市场份额确定骨科植入物制造商的纳入标准。收集并记录销售额最高的骨科植入物制造商的螺钉尺寸和驱动类型。评估螺钉和螺丝刀的兼容性，并与两种常用的通用螺丝刀拆卸套件进行比较。
共纳入了六家在四肢骨骼中广泛植入螺钉的骨科植入物公司。数据以表格形式编制，将非套管、套管和锁定螺钉产品按螺钉尺寸和制造商进行分类。还评估了套管产品的导丝尺寸兼容性。
鉴于植入式骨科植入物的普遍性，去除必须尽可能安全、计划和控制。本文中的数据为希望确认其机构中先前植入的螺钉和可用的拆卸设备兼容性的外科医生提供了一个全面的集中资源。
