ArticleCureus2025
Nitinol Compression Staple Fixation Failure in Hand Surgery: A Report of Two Cases.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Nitinol compression staples are increasingly used in hand surgery due to their shape memory effect and simplified surgical technique. While they have demonstrated favorable outcomes, reports on complications and failure mechanisms remain limited. We report two cases of fixation failure: one in a vascularized proximal interphalangeal joint transfer and another in thumb carpometacarpal joint arthrodesis. Both cases required revision surgery with plate fixation. These cases suggest that failure resulted from asymmetrical force distribution. This was caused by one staple leg achieving only monocortical purchase while the other was bicortical, combined with a short working length. These cases highlight the critical importance of preoperative planning and precise staple placement, particularly when bone dimensions are unequal or the working length is limited.
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Registered trials
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