Abstract
The use of “poller” or “blocking” screws is a minimally invasive reduction technique used in intramedullary nailing of long bones. The basic objective behind the use of poller screws is to reduce the width of the medullary canal, block the nail and increase the mechanical stiffness of bone-implant construct. Their original indication, which was the reduction and supplemental stabilisation of long bone metaphyseal fractures, has been recently expanded and is currently used in the management of nonunions and in intramedullary limb lengthening. In this chapter tips and tricks as to how poller screws should be applied effectively are presented.
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References
Krettek C, Schandelmaier P, Tscherne H. Nonreamed interlocking nailing of closed tibial fractures with severe soft tissue injury. Clin Orthop Relat Res. 1995;315:34–47.
Krettek C, Miclau T, Schandelmaier P, et al. The mechanical effect of blocking screws (“Poller screws”) in stabilizing tibia fractures with short proximal or distal fragments after insertion of small-diameter intramedullary nails. J Orthop Trauma. 1999;13:550–3.
Krettek C, Stephan C, Schandelmaier P, et al. The use of Poller screws as blocking screws in stabilising tibial fractures treated with small diameter intramedullary nails. J Bone Joint Surg Br. 1999;81:963–8.
Hannah A, Aboelmagd T, Yip G, et al. A novel technique for accurate Poller (blocking) screw placement. Injury. 2014;45:1011–4.
Muthusamy S, Rozbruch SR, Fragomen AT. The use of blocking screws with internal lengthening nail and reverse rule of thumb for blocking screws in limb lengthening and deformity correction surgery. Strategies Trauma Limb Reconstr. 2016;11:199–205.
Shahulhameed A, Roberts CS, Ojike NI. Technique for precise placement of poller screws with intramedullary nailing of metaphyseal fractures of the femur and the tibia. Injury. 2011;42:136–9.
Seyhan M, Cakmak S, Donmez F, et al. Blocking screws for the treatment of distal femur fractures. Orthopedics. 2013;36:e936–41.
Eom TW, Kim JJ, Oh HK, et al. Challenge to treat hypertrophic nonunion of the femoral shaft: the Poller screw augmentation technique. Eur J Orthop Surg Traumatol. 2016;26:559–63.
Guthrie HC, Bellringer SF, Nicol S. Fine-tuning of blocking screws in long bone nailing. Ann R Coll Surg Engl. 2015;97:240–1.
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Tosounidis, T.H., Giannoudis, P.V. (2018). Innovations in Fracture Reduction: Poller Screws. In: Giannoudis, P. (eds) Fracture Reduction and Fixation Techniques. Springer, Cham. https://doi.org/10.1007/978-3-319-68628-8_6
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DOI: https://doi.org/10.1007/978-3-319-68628-8_6
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