Moses Alex, Foster Cameron, Young Porter
Orthopedic Surgery, University of Florida College of Medicine-Jacksonville, Jacksonville, USA.
Cureus. 2025 Sep 12;17(9):e92143. doi: 10.7759/cureus.92143. eCollection 2025 Sep.
The "push screw" technique is an adjunct for managing coronal alignment in distal femur fractures fixed with lateral locking plates. Distal femur fractures can be challenging to reduce due to technical challenges in plate placement, leading to varus malalignment and functional consequences. The "push screw" technique involves using a short locking screw proximal to metaphyseal comminution to medialize the proximal shaft, thereby improving coronal alignment. This article presents a case series of distal femur fractures in which the technique was successfully utilized. The "push screw" technique offers a viable option to avoid the golf club deformity associated with lateral plate fixation, emphasizing its safety, ease of implementation, and effectiveness in achieving and maintaining fracture reduction.
“推螺钉”技术是一种辅助手段，用于处理采用外侧锁定钢板固定的股骨远端骨折的冠状面复位。由于钢板放置存在技术难题，股骨远端骨折的复位颇具挑战性，容易导致内翻畸形及功能问题。“推螺钉”技术是在干骺端粉碎处近端使用一枚短锁定螺钉，将近端骨干向内侧推移，从而改善冠状面复位。本文介绍了一系列成功应用该技术的股骨远端骨折病例。“推螺钉”技术为避免与外侧钢板固定相关的高尔夫球杆畸形提供了一种可行的选择，强调了其在实现和维持骨折复位方面的安全性、易于实施性和有效性。
