scholarly journals Lateral Extra-articular Tenodesis With Proximal Staple Fixation

2019 ◽  
Vol 8 (8) ◽  
pp. e821-e825 ◽  
Author(s):  
Adam Kwapisz ◽  
Scott Mollison ◽  
Sheila McRae ◽  
Peter MacDonald
Keyword(s):  
Staple Fixation

scholarly journals Comparison of Direct Surgical Costs for Proximal Row Carpectomy and Four-Corner Arthrodesis

2018 ◽  
Vol 08 (01) ◽  
pp. 066-071 ◽  
Author(s):  
Andrew Stephens ◽  
Angela Presson ◽  
Yizhe Xu ◽  
Ross Feller ◽  
Andrew Tyser ◽  
...  
Keyword(s):  
Patient Reported Outcomes ◽  
Operative Time ◽  
Tertiary Care ◽  
Proximal Row Carpectomy ◽  
Level Of Evidence ◽  
Surgical Costs ◽  
Patient Reported ◽  
Simultaneous Procedures ◽  
Supply Costs ◽  
Staple Fixation

Background Proximal row carpectomy (PRC) and four-corner arthrodesis (FCA) are common treatments for stage II scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) wrists, with similar functional and patient-reported outcomes reported in the peer-reviewed literature. Questions Study questions included (1) whether surgical encounter total direct costs (SETDCs) differ between PRC and FCA, and (2) whether SETDC differs by method of fixation for FCA. Patients and Methods Consecutive adult patients (≥ 18 years) undergoing PRC and FCA between July 2011 and May 2017 at a single tertiary care academic institution were identified. Patients undergoing additional simultaneous procedures were excluded. Using our institution's information technology value tools, we extracted prospectively collected cost data for each surgical encounter. SETDCs were compared between PRC and FCA, and between FCA subgroups (screws, plating, or staples). Results Of 42 included patients, mean age was similar between the 23 PRC and 19 FCA patients (51.2 vs. 54.5 years, respectively). SETDCs were significantly greater for FCA than PRC by 425%. FCA involved significantly greater facility costs (2.3-fold), supply costs (10-fold), and operative time (121 vs. 57 minutes). Implant costs were absent for PRC, which were responsible for 55% of the SETDC for FCA. Compared with compression screws, plating and staple fixation were significantly more costly (70% and 240% greater, respectively). Conclusion SETDCs were 425% greater for FCA than PRC. Implant costs for FCA alone were 130% greater than the entire surgical encounter for PRC. For FCA, SETDC varied depending on the method of fixation. Level of Evidence This is a level III, cost analysis study.

Outcomes of posterior cruciate ligament tibial avulsion treated with staple fixation: stress TELOS X-ray evaluation

2019 ◽  
Vol 29 (4) ◽  
pp. 883-891
Author(s):  
M. M. Reverte-Vinaixa ◽  
J. H. Nuñez ◽  
D. Muñeton ◽  
N. Joshi ◽  
E. Castellet ◽  
...  
Keyword(s):  
Posterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
X Ray ◽  
Staple Fixation

Latex foam and staple fixation of skin grafts

1998 ◽  
Vol 36 (2) ◽  
pp. 141-142 ◽  
Author(s):  
P.A. Johnson ◽  
K. Fleming ◽  
C.M.E. Avery
Keyword(s):  
Skin Grafts ◽  
Staple Fixation

Nitinol Compression Staples for Bone Fixation in Foot Surgery

2006 ◽  
Vol 96 (2) ◽  
pp. 102-106 ◽  
Author(s):  
Trinity M. Mereau ◽  
Timothy C. Ford
Keyword(s):  
Retrospective Study ◽  
Internal Fixation ◽  
Bone Healing ◽  
Subtalar Joint ◽  
San Antonio ◽  
Foot Surgery ◽  
Bone Apposition ◽  
First Metatarsal ◽  
Bone Fixation ◽  
Staple Fixation

We reviewed the use of compression staples made of the memory metal alloy nitinol for fixation in foot surgery. A retrospective study was performed of 31 feet in 27 patients who underwent arthrodesis or an osteotomy fixated using compression staples. OSStaples (BME, San Antonio, Texas) were used in 18 feet, and Memodyn staples (Telos Medical, Fallston, Maryland) were used in 13 feet. A total of 48 compression staples were implanted. The following procedures were performed and fixated using compression staples: 15 Akin osteotomies, 2 first metatarsal base epiphysiodeses, 3 first metatarsal–cuneiform fusions, 2 naviculocuneiform fusions, 3 calcaneocuboid fusions, 4 talonavicular fusions, 3 subtalar joint fusions, and 2 Evans osteotomies. In our clinical experience, compression staples provide an adequate source of internal fixation in foot surgery. Good bone apposition and stabilization and compression of the bone surfaces before staple fixation are important when using staple fixation to promote an optimal environment for bone healing. (J Am Podiatr Med Assoc 96(2): 102–106, 2006)

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