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Acumed introduces the Scapho-Lunate Inter Carpal (SLIC) Screw System
Date:1/14/2014

8-12 weeks post-operatively and many conventional screws are removed by four months post-operatively.  

K-wires and conventional screws are removed early in order to allow more motion at the wrist and prevent stiffness.  However, they stick out of the patient's skin at the wrist during healing and among the problems K-wires can cause are infection, skin irritation, limited rotation of the wrist, and uncertainty of stability when the wires are removed.

"The new SLIC Screw System provides mechanical support while the soft tissue repair heals and matures," says orthopaedic surgeon William B. Geissler, M.D. "Prolonged stabilization of the involved carpal bones eliminates the potential complications of temporary Kirschner wire fixation."

SLIC Screw

The joint of the SLIC screw resides in the interval between the scaphoid and lunate and allows for an approximate 15 to 22 degree toggle angle range of rotation. The screws come in three sizes – 22mm, 25 mm and 28 mm -  with the length variation in the scaphoid portion of the screw.  The scaphoid portion of the screw varies in length in order to allow the surgeon to place the back end of the screw close to the scaphoid bone surface, easing removal of the screw in six to nine months or after biological healing of the soft tissue.  

SL Targeting Guide

The SL Targeting Guide sits on the outside of the wrist and accomplishes several crucial functions: with the use of a joystick clip and temporary K-wires, it enables the surgeon to reduce the scaphoid and lunate bones back into position.

It allows the user to locate the screw trajectory accurately using fluoroscopy, locking the guide wire (for the screw) in one plane of motion while adjusting and locking it in the second plane. Further, the Targeting Guide aids in accurately placing the guide wire centrally through the bones from the lateral view.  Once th
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SOURCE Acumed
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