Herbert Screw (Compression Screw) 4.5 mm

Miraclus Herbert Screw 4.5 mm also known as headless compression screw , a robust orthopedic implant, is designed for versatile applications in bone fixation.
Engineered with precision, its self-drilling and self-tapping capabilities allow for efficient insertion and secure stability.
Crafted from top-grade titanium, this implant ensures both biocompatibility and long-lasting durability.

With its larger size, the Herbert Screw 4.5 mm finds frequent utilization in procedures requiring greater load-bearing capacity and structural support, such as complex fractures, non-unions, and joint fusions.
Surgeons rely on its dependable performance to achieve optimal bone healing and successful surgical outcomes
Click on Uses to know more about indication. Click on Specification to know more about it's features. See below for avilable sizes.

Fracture Fixation:The 4.5 mm Headless Compression Screw is commonly used for the fixation of fractures, particularly in small bones and joints such as the hand, wrist, foot, and ankle. It provides stable internal fixation and allows for compression across the fracture site, aiding in the healing process.
Osteotomies:The 4.5 mm Herbert screw is often employed in osteotomy procedures, which involve cutting and reshaping bones. It helps secure bone fragments in the desired alignment, allowing for proper healing and fusion.
Bone Graft Fixation: When bone grafts are used to assist in bone healing or fusion, 4.5 mm Headless Screw can be employed to secure the grafts in place, ensuring their stability and promoting graft integration.

Nonunion Treatment: The 4.5 mm Herbert screw may be used in the treatment of nonunion fractures, where bone healing has not occurred naturally. It can help facilitate bone union by providing compression and stability at the nonunion site.
Corrective Procedures: In certain cases, the 4.5 mm Herbert Screw is utilized in corrective procedures to address deformities or misalignments of bones, such as in the correction of angular deformities or malunions.
Arthrodesis: Arthrodesis refers to the fusion of two or more adjacent bones to eliminate joint motion. The 4.5 mm Herbert Screw can be utilized in arthrodesis procedures to provide compression and stability at the fusion site.

Sports Medicine:The 4.5 mm Headless Compression Screw is occasionally used in sports medicine procedures, particularly in the treatment of fractures or ligament injuries in athletes. Its small size and compression capabilities make it suitable for certain sports-related injuries.

Headless Design: The 4.5 mm Herbert screw has a unique design without a traditional screw head. Instead, it features a cylindrical body with threads along its entire length.
Compression Function: The 4.5 mm Headless Screw is designed to provide compression across a fracture or fusion site. It is commonly used in applications where compression forces are required for optimal bone healing.
Cannulated Structure: Many 4.5 mm Headless Compression Screws have a hollow, cannulated structure. This allows for precise placement over a guide wire during surgery and facilitates proper alignment.

Self-Tapping Threads: The 4.5 mm Herbert screw typically has self-tapping threads, allowing it to be inserted directly into bone without the need for pre-drilling.
Biocompatible Material: The 4.5 mm Headless Compression Screw is typically made from a biocompatible material such as stainless steel or titanium alloy, which is well-tolerated by the body and minimizes the risk of adverse reactions.
Variable Length Options: The 4.5 mm Headless Screw are available in various lengths to accommodate different anatomical requirements and surgical procedures.

Instrumentation: The 4.5 mm Headless Compression Screw may come with specialized instrumentation, including screwdrivers, guide wires, and drill bits, to facilitate precise placement and implantation during surgery.
Radiolucent Properties: Some versions of the 4.5 mm Herbert screw may have radiolucent properties, enabling better visibility of the bone during postoperative imaging procedures like X-rays or CT scans.

Product Code	Name	Material	Diameter (mm)	Thread Type	Length (mm)
ST313.20	Ø 4.5 mm Herbert Screw , short thread L 20 mm	Titanium	Ø4.5	Short	20
ST313.22	Ø 4.5 mm Herbert Screw , short thread L 22 mm	Titanium	Ø4.5	Short	22
ST313.24	Ø 4.5 mm Herbert Screw , short thread L 24 mm	Titanium	Ø4.5	Short	24
ST313.26	Ø 4.5 mm Herbert Screw , short thread L 26 mm	Titanium	Ø4.5	Short	26
ST313.28	Ø 4.5 mm Herbert Screw , short thread L 28 mm	Titanium	Ø4.5	Short	28
ST313.30	Ø 4.5 mm Herbert Screw , short thread L 30 mm	Titanium	Ø4.5	Short	30
ST313.32	Ø 4.5 mm Herbert Screw , short thread L 32 mm	Titanium	Ø4.5	Short	32
ST313.34	Ø 4.5 mm Herbert Screw , short thread L 34 mm	Titanium	Ø4.5	Short	34
ST313.36	Ø 4.5 mm Herbert Screw , short thread L 36 mm	Titanium	Ø4.5	Short	36
ST313.38	Ø 4.5 mm Herbert Screw , short thread L 38 mm	Titanium	Ø4.5	Short	38

Product Code	Name	Material	Diameter (mm)	Thread Type	Length (mm)
ST313.40	Ø 4.5 mm Herbert Screw, short thread L 40 mm	Titanium	Ø4.5	Short	40
ST313.42	Ø 4.5 mm Herbert Screw, short thread L 42 mm	Titanium	Ø4.5	Short	42
ST313.44	Ø 4.5 mm Herbert Screw, short thread L 44 mm	Titanium	Ø4.5	Short	44
ST313.46	Ø 4.5 mm Herbert Screw, short thread L 46 mm	Titanium	Ø4.5	Short	46
ST313.48	Ø 4.5 mm Herbert Screw, short thread L 48 mm	Titanium	Ø4.5	Short	48
ST313.50	Ø 4.5 mm Herbert Screw, short thread L 50 mm	Titanium	Ø4.5	Short	50
ST313.52	Ø 4.5 mm Herbert Screw, short thread L 52 mm	Titanium	Ø4.5	Short	52
ST313.54	Ø 4.5 mm Herbert Screw, short thread L 54 mm	Titanium	Ø4.5	Short	54
ST313.56	Ø 4.5 mm Herbert Screw, short thread L 56 mm	Titanium	Ø4.5	Short	56
ST313.58	Ø 4.5 mm Herbert Screw, short thread L 58 mm	Titanium	Ø4.5	Short	58

Product Code	Name	Material	Diameter (mm)	Thread Type	Length (mm)
ST313.60	Ø 4.5 mm Herbert Screw, short thread L 60 mm	Titanium	Ø4.5	Short	60
ST313.65	Ø 4.5 mm Herbert Screw, short thread L 65 mm	Titanium	Ø4.5	Short	65
ST313.70	Ø 4.5 mm Herbert Screw, short thread L 70 mm	Titanium	Ø4.5	Short	70
ST313.75	Ø 4.5 mm Herbert Screw, short thread L 75 mm	Titanium	Ø4.5	Short	75
ST313.80	Ø 4.5 mm Herbert Screw, short thread L 80 mm	Titanium	Ø4.5	Short	80
ST313.85	Ø 4.5 mm Herbert Screw, short thread L 85 mm	Titanium	Ø4.5	Short	85
ST313.90	Ø 4.5 mm Herbert Screw, short thread L 90 mm	Titanium	Ø4.5	Short	90
ST313.95	Ø 4.5 mm Herbert Screw, short thread L 95 mm	Titanium	Ø4.5	Short	95
ST313.100	Ø 4.5 mm Herbert Screw, short thread L 100 mm	Titanium	Ø4.5	Short	100
ST313.105	Ø 4.5 mm Herbert Screw, short thread L 105 mm	Titanium	Ø4.5	Short	105

Product Code	Name	Material	Diameter (mm)	Thread Type	Length (mm)
ST313.110	Ø 4.5 mm Herbert Screw, short thread L 110 mm	Titanium	Ø4.5	Short	110

Medical Evaluation: Prior to the surgery, a thorough medical evaluation will be conducted by your orthopedic surgeon. This evaluation includes assessing your overall health, reviewing your medical history, and identifying any preexisting conditions or factors that may affect the surgery or healing process.

Imaging Studies: X-rays, CT scans, or other imaging studies may be performed to evaluate the extent of the fracture or the condition of the bone. These imaging studies help the surgeon determine the appropriate size and placement of the Herbert Screw.

Medications: Inform your surgeon about any medications you are currently taking, including prescription drugs, over-the-counter medications, and supplements. Your surgeon may provide specific instructions regarding the use of certain medications before the surgery, such as blood thinners, which may need to be temporarily stopped or adjusted.

Fasting: Follow the fasting instructions provided by your surgeon or anesthesiologist. Typically, you will be advised to refrain from eating or drinking anything for a specific period before the surgery. This is necessary to minimize the risk of complications related to anesthesia.

Smoking and Alcohol: If you smoke or consume alcohol, it is advisable to quit or minimize their use before the surgery. Smoking and excessive alcohol intake can impair the healing process and increase the risk of complications.

Clear Communication: Discuss any concerns or questions you may have with your surgeon. It is important to have a clear understanding of the procedure, potential risks, expected outcomes, and postoperative care. Your surgeon will provide you with detailed instructions and address any specific considerations related to the Herbert Screw fixation.

Patient Preparation:The patient is prepared for surgery, which includes administering anesthesia based on the surgeon's recommendation. This may involve general anesthesia, regional anesthesia, or local anesthesia, depending on the specific case and patient's condition.

Incision: The surgeon makes a small incision at the surgical site, typically over the area where the fracture or bone defect is located. The incision allows access to the bone for the insertion of the Herbert Screw.

Fracture Reduction:If the procedure is performed to treat a fracture, the surgeon carefully aligns the fractured bone fragments to restore proper alignment and anatomical position. This step ensures optimal healing and functional recovery.

Screw Insertion: Using specialized instruments, the surgeon drills a hole into the bone to accommodate the Herbert Screw. The size of the hole corresponds to the diameter of the chosen 4.5 mm Herbert Screw. The screw is then carefully inserted into the hole, penetrating both bone fragments and providing compression to stabilize the fracture site.

Screw Placement Confirmation:The surgeon verifies the correct positioning of the Herbert Screw using fluoroscopy or other imaging techniques. This ensures proper fixation and alignment of the bone fragments.

Wound Closure: Once the screw is securely in place, the surgeon closes the incision with sutures or surgical staples. Sterile dressings or bandages are applied to protect the surgical site and promote healing.

Postoperative Care: After the procedure, the patient is monitored in the recovery area before being transferred to a hospital room or discharged, depending on the specific case. The surgeon provides instructions for postoperative care, including pain management, wound care, activity restrictions, and follow-up appointments.

Weight-Bearing:The weight-bearing instructions after Herbert Screw fixation may vary depending on the specific fracture or surgical procedure. It is essential to follow the surgeon's instructions regarding weight-bearing limitations, partial weight-bearing, or non-weight bearing during the healing period.

Dressings and Wound Care:The surgical incision site should be kept clean and dry to prevent infection. Follow the surgeon's instructions regarding dressing changes, wound care, and any prescribed medications.

Immobilization: In some cases, a splint, cast, or brace may be applied to immobilize the affected area and provide stability during the initial healing phase. The duration of immobilization will depend on the fracture type, location, and individual healing progress.

Physical Therapy: Depending on the specific rehabilitation protocol, physical therapy may be recommended to aid in the recovery process. Physical therapy exercises and rehabilitation techniques help restore range of motion, strength, and function in the affected area. Follow the prescribed physical therapy program as directed by your surgeon or physical therapist.

Follow-Up Appointments: Regular follow-up appointments with the surgeon are important to monitor the healing progress, evaluate range of motion, and assess the overall recovery. During these visits, X-rays may be taken to assess the position and stability of the Herbert Screw.