• Arch Orthop Trauma Surg · May 2024

    Randomized Controlled Trial Comparative Study

    Comparison of time-efficiency of individually wrapped screws and sterile screw racks in distal radius fracture treatment.

    • Tim Philips, Ben Molenaers, Pieter Caekebeke, Mike Flies, Olivier Vanderhaeghen, and Joris Duerinckx.
    • Department of Orthopaedic Surgery and Traumatology, Ziekenhuis Oost-Limburg, Synaps Park 1, 3600, Genk, Belgium.
    • Arch Orthop Trauma Surg. 2024 May 1; 144 (5): 212721292127-2129.

    IntroductionTime-efficiency of individually wrapped screws versus screws in a screw rack is not well established.Materials And MethodsWe performed a prospective single-center clinical study timing the interval between the surgeon asking and receiving a screw during plate and screw osteosynthesis of distal radius fractures. Patients were randomized for individually wrapped screws or screws in a screw rack. The study was conducted in a Level 1 Trauma Center and surgeries were performed between March and June 2023.ResultsAverage handling time for screws from a screw rack was 9 s (SD 5.5; range 3-28) and 22 s for individually wrapped screws (SD 6.1; range 6-38). This average difference of 13 s is significant (p < 0.0001).ConclusionThere is a significant increase in handling time using individually wrapped screws over using a screw rack.Level Of EvidenceLevel I (therapeutic, randomized controlled trial).© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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