Herbert screw fixation by limited access for acute fractures of the scaphoid.
نویسندگان
چکیده
We describe a semi-closed method of Herbert screw fixation for acute fractures of the scaphoid. All 40 patients treated achieved solid union with satisfactory wrist function. This technique gave a significantly shorter time to union and allowed an earlier return to manual labour compared with conservative treatment. There were no complications. Semi-closed insertion requires considerable skill, but produces consistently satisfactory results after minimal exposure of the scaphoid.
منابع مشابه
Scaphoid Fractures: A Comparison of Two Surgical Methods for Internal Fixation Using Either Herbert Screws or Multiple Pins
Background and Aims: Scaphoid fractures are the most common fractures of the wrist. This study compared the outcomes of two surgical internal fixation techniques, using either Herbert screws (HS group) or multiple pins (MP group), in the treatment of scaphoid fractures. Methods: This cross-sectional study was performed on 41 patients (23 in HS and 18 in MP groups) with unilateral scaphoid fract...
متن کاملMinimal invasive treatment for scaphoid fractures using the cannulated herbert screw system.
Internal fixation of scaphoid fractures avoids the problems associated with prolonged plaster immobilization and, at the same time, allows an early return to activity for these mostly young patients.Internal fixation of the scaphoid is greatly facilitated by the use of specially designed headless bone screws, such as the Herbert bone screw, originally developed specifically for internal fixatio...
متن کاملScaphoid fracture: functional outcome following fixation with Herbert Screw.
BACKGROUND Most scaphoid fractures though heal uneventfully with cast treatment, immobilization with cast is associated with complication like wrist stiffness. Open reduction and fixation with Herbert Screw though technically demanding procedure can yield excellent results and prevents complication like nonunions and loss of wrist function. OBJECTIVES To assess clinical outcome and radiologic...
متن کاملHerbert screw fixation of scaphoid fractures.
We reviewed the records of 431 patients who had open reduction and internal fixation of the scaphoid performed by one surgeon (TJH) over a 13-year period. The Herbert bone screw provided adequate internal fixation without the use of plaster immobilisation, promoting a rapid functional recovery. On average, patients returned to work 4.7 weeks after surgery and wrist function was significantly im...
متن کاملThe Herbert screw for fractures of the scaphoid.
We have reviewed 22 patients with scaphoid fractures treated by internal fixation with the Herbert screw. Three patients had trans-scaphoid perilunar dislocations, one had an oblique displaced fracture of the waist of the scaphoid and 18 had fractures with delayed or non-union. Corticocancellous bone grafts were added in nine of the cases of non-union. Results were excellent or good in 80% of c...
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ورودعنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 79 3 شماره
صفحات -
تاریخ انتشار 1997