Complications for screw fixation
1. Complications
Breakdown of the fixation can occur, especially if the biceps tendon was left intact.
Also, in cases where the surgery was delayed several weeks, the fragment becomes osteoporotic. This facilitates the biceps tendon pulling the fragment cranially along the screws.
The image shows that even the use of a washer, to increase bone-metal contact, didn’t prevent breakdown of the fixation.
