Acutrak 3 Headless Compression Screw System

Product Overview

Acutrak 3 is the latest innovation in our headless compression screw technology and is comprised of 93 unique screws that include the introduction of a new 2.0mm diameter Nano screw and extensions to the existing lengths of the Micro, Mini, and Standard screws, allowing expansion on the many indications historically treated with the Acutrak 2 system.

Instrumentation

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Additionally, Acutrak 3 has redesigned the instrumentation with a focus on ease of use for surgeons: all screws measure from the tail/back of a guide wire, the new screw sizer allows for implant measurements at unique angles, the drivers have a new hexalobe interface, and a parallel guide wire has been added for stability or secondary implants between 2.5 mm - 20 mm in distance.

Key Publications

This collection of published literature represents clinical evidence, which along with innovation, education, and quality form Acumed’s foundations of excellence. In addition to citing existing scholarly papers, we conduct ongoing clinical research and use this information for validation and continuous improvement to deliver the greatest value to our customers.
Download UE Key Publications PDF
Download LE Key Publications PDF

The Acutrak Advantage

With its introduction in 1994, Acutrak Headless Compression Screw technology revolutionized the way surgeons treat fractures, fusions, and osteotomies. Acutrak 2 introduced the next generation in fully threaded headless fixation, with larger guide wires, larger hex drivers, and a tapered end. The Acutrak 2 System is routinely used in a number of lower-extremity fracture fixations, including those featured below. Explore the Acutrak Advantage.

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Solutions for Simple to Complex Trimalleolar Injuries

Trimalleolar fractures involve the lateral malleolus, the medial malleolus, and the posterior malleolus. See how Acumed Foot and Ankle products provide solutions to treat these often challenging cases. Watch video, see clinical and biomechanical evidence, and explore case studies.
Explore Acumed Trimal Fracture Solutions
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Hand Fracture Solutions That Have You Covered

From straightforward to specialized solutions, Acumed l OsteoMed offers a comprehensive portfolio of upper extremity fixation and specialty plates.
Explore Acumed | OsteoMed Hand Fracture Solutions

Features

  • Continuously Variable Thread Pitch

    The Acutrak fully threaded continuously variable thread pitch screw design provides greater compression and a larger window of compression as compared to partially threaded Herbert style screw designs.1 In addition, this feature allows a fracture or osteotomy site to lie almost anywhere along the length of the screw.

  • A Family of Options

    Available in six different families for a total of 68 different screws, addressing applications throughout the upper and lower extremities.

  • Fully Threaded

    Biomechanical studies have shown that fully threaded screws better handle the cyclic loading that may occur during healing. The Acutrak Headless Compression Screw technology has shown greater push-out strength, greater resistance to cyclic loading, and greater resistance to torsional loading when compared to differential pitch screw technology.1

  • A Heritage of Healing

    Over 1.7 million Acutrak family screws implanted since 1994, supported by more than 100 clinical and biomechanical studies.

1. Wheeler DL, McLoughlin SW. Biomechanical assessment of compression screws. Clin Orthop Relat Res. 1998;350:237-245.

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Videos

System Overview Animation

Acutrak 3 is the latest innovation in our headless compression screw technology and is comprised of 93 unique screws that include the introduction of a new 2.0mm diameter Nano screw and extensions to the existing lengths of the Micro, Mini, and Standard screws, allowing expansion on the many indications historically treated with the Acutrak 2 system.

See all videos featuring Acutrak 2
Phalangeal Fixation Animated Surgical Technique

An animated version of Acumed's suggested surgical technique for Phalangeal fractures using the Acutrak 2 Micro screw to ensure reduction of the fragment, secure the fracture, and maintain rotational stability.

Radial Styloid Fracture Reduction Animated Surgical Technique

Step-by-step animated instructions of Acumed's recommended surgical procedure using the Acutrak 2 Standard screw to reduce a radial styloid fracture, and secure it in order to maintain reduction and rotational stability.

Scaphoid Fracture Reduction Animated Surgical Technique

An animated version of Acumed's recommended scaphoid fracture surgical technique using the Acutrak 2 Mini Screw to effectively reduce and secure the fractured scaphoid, and maintain rotational stability.

Jones Fracture Reduction Animated Surgical Technique

An animated version of Acumed’s recommended surgical procedure for reducing and fixating fractures of the fifth metatarsal using the Acutrak-4.7 cannulated screw.

The Acutrak 3 Family

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The Acutrak 3 Standard is designed for the fixation of small bone fractures and joint fusions, where a 3.5 mm - 4.0 mm headed screw or an equivalent-sized headless screw would otherwise be required. The Acutrak 3 Standard is extremely versatile, with a variable thread pitch and fully-threaded length that can provide excellent compression for the patient. The Acutrak 3 is indicated for: scaphoid fractures and non-unions, capitellum fractures, navicular fractures, bunionectomies, 5th metatarsal fractures, carpal fusions, and MCP fusions. Acutrak 3 Standard screws are inserted with a 2.5 mm hex driver over a .054" guide wire.
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The Acutrak 3 Mini incorporates the same design principles as the rest of the Acutrak 3 family of screws, with a smaller diameter and shorter lengths. The Acutrak 3 Mini is designed for the fixation of small bone fractures and joint fusions, where a 3.5 mm - 4.0 mm headed screw or an equivalent-sized headless screw would otherwise be required. Indications for the Acutrak 3 Mini include: scaphoid fractures and nonunions, bunionectomies, radial styloid fractures, radial head fractures, avulsion fractures, carpal fusions, MCP fusions, OCD repair, and Phalangeal fractures. Acutrak 3 Mini screws are available in lengths up to 60 mm, are inserted with a 1.1mm single or double trocar guide wire and color coded corresponding option of bone drill.
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The Acutrak 3 Micro incorporates the same design principles as the rest of the Acutrak 3 family of screws. The Acutrak 3 Micro is designed for the fixation of small bones and fracture fragments, where a 2.0 mm - 2.4 mm headed cruciform screw or an equivalent-sized headless screw would otherwise be required. Indications for the Acutrak 3 Micro include: radial head fractures, phalangeal fractures, carpal fractures, metacarpal head fractures, proximal pole scaphoid fractures. Acutrak 3 Micro screws are available in lengths up to 50 mm, are inserted with a 0.9 mm single or double trocar guide wire and color coded, corresponding option of bone drill.
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The Acutrak 3 Nano incorporates the same design principles as the rest of the Acutrak 3 family of screws. The Acutrak 3 Nano is designed for the fixation of small bones and fracture fragments. Indications for Acutrak 3 Nano include: radial head fractures, phalangeal fractures, carpal fractures, metacarpal head fractures, scaphoid fractures, and DIP & PIP fusions. Acutrak 3 Nano screws are available in lengths up to 40 mm, are inserted with a 0.7 mm single or double trocar guide wire, and their corresponding, color coded options of bone drills.

Case Study: Acute Radial Head Fracture

Richard S. Moore, M.D., uses the Acutrak 2 Micro Screws to treat an acute right radial head fracture in a 64-year-old woman following a mechanical fall onto an outstretched hand. Who complained of pain and limited range of motion of the elbow.
View the case study
Standard Volar Distal Radius Plates

Acutrak 2 Supplemental Use Guides

Standard Volar Distal Radius Plates

Foot & Ankle: AcuTwist and Acutrak 2 Micro, Mini, Standard, 4.7, and 5.5 are intended for use as fixation devices for small bones, bone fragments, and osteotomies. They are not intended for interference or soft tissue fixation. Acutrak 2–7.5 may be used for fusions, fractures, or osteotomies of the clavicle, humerus, radius, ulna, ilium, femur, patella, fibula, tibia, talus, malleolus, and calcaneus.

Hand & Wrist: Acutrak 2 Micro, Mini, and Standard are intended for use as fixation devices for small bones, bone fragments, and osteotomies. They are not intended for interference or soft tissue fixation.

View the Supplemental Use Guides

Cyclic Loading

The highest amount of retained compression after cyclic loading1.

The highest resistance to torsional loading compared to AO and Herbert screws in cadaveric and synthetic bone material.1

1. Wheeler DL, McLoughlin SW. Biomechanical assessment of compression screws. Clin Orthop Relat Res. 1998;350:237-245.

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Image Gallery

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A/P view of PIP fusion, using an Acutrak 3 Nano screw.
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A/P view of a dorsal scaphoid using Acutrak Nano.
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A/P view of DIP and PIP fusion using Acutrak 3 Micro.
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A/P view of DIP, PIP, and MTP fusion using Acutrak 3 Micro.