The Herbert screw for osteochondral fractures: brief report.

Case reports Femoral head. Three patients have been treated. A 22year-old man sustained an osteochondral fracture of the femoral head. The grossly displaced fragment was reduced and held with four Herbert screws (Fig. 1). At one year hip flexion was 100#{176}, there was no evidence of avascular necrosis or segmental collapse, and the patient had returned to work as a warehouseman. The second patient was a 42-year-old nurse who sustained a hip dislocation with fracture of the femoral head. The fracture was reduced and held by two Herbert screws. At one year hip flexion was 100#{176} with no radiographic loss of joint space. The third case, a 33-year-old man, sustained a severe fracture-dislocation, involving both the femoral