Headless & Herberts Screws

Headless screws, also known as cannulated headless screws or Herbert screws, are specialized orthopedic implants used in the treatment of certain bone fractures and osteotomies. They are named “headless” because they lack a traditional screw head and have a fully threaded design.

Herbert screws are typically made of titanium or stainless steel and have a cylindrical shape. They feature a hollow core or cannulation that allows for the insertion of a guide wire during the surgical procedure. The cannulated design facilitates the precise placement of the screw and can aid in the compression and fixation of bone fragments.

The unique characteristic of headless screws is that they do not have a prominent screw head. Instead, they have a smooth surface that is flush with the bone when fully inserted. This feature reduces the potential for soft tissue irritation and allows for a more anatomical fit. Headless screws are commonly used in cases where it is desirable to minimize prominence or where a traditional screw head may interfere with adjacent structures.

Headless screws are often utilized in small bone fractures or osteotomies, such as those involving the hand, wrist, foot, or ankle. In addition, larger and thicker Herbert screws can be used for the fixation of large bones. They provide compression and stability to promote bone healing and fusion while minimizing the risk of hardware-related complications.

The specific use of headless screws, including Herbert screws, will depend on the individual patient’s condition, the location, and nature of the fracture, and the surgeon’s preference. The orthopedic surgeon will determine the most appropriate implant and surgical technique for optimal fracture stabilization and healing.