Application of Hex Nut Compression

- Discussion:
    - in most cases, antegrade screw insertion across the fracture site, will result in fracture site compression;
    - once the medial threads have passed the fracture site, fracture compression usually takes place;
    - remove one of the two hexagonal nuts, and then advance the remaining screw up to the fracture site, in order to apply compression;
    - once adequate compression is achieved, consider applying a second hexagonal nut in order to prevent migration of the compression nut    

Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Thursday, January 3, 2013 3:02 pm