[The Herbert screw in the treatment of fractures and pseudarthrosis of the carpal scaphoid. Review of 25 cases].
The Authors have reviewed the charts of 25 patients with scaphoid lesions treated with the Herbert screw and this study reports their personal experience. Between September 1983 and December 1986, 4 fresh fractures, 5 delayed unions and 16 pseudarthrosis were treated by means of this osteosynthesis procedure. The mean follow-up was 22 months. Bony union occurred in 21 patients. The series contains 2 failures defined as an absence of bony union after a post-operative delay of more than 6 months. There were 2 other cases considered as doubtful unions on X-rays. Wrist function, nevertheless, was restored in 23 patients. Plaster immobilization did not appear to be essential for every case. The short leave of absence, averaging 2 months only, is also in favour of this technique.
Van der Maren
C
C
Service de Chirurgie Orthopédique et de Traumatologie, Clinique St-Pierre, Ottignies.
Van Overstraeten
L
L
Lewalle
J
J
Mullier
J
J
Autrique
J C
JC
Thiéry
J
J
Deneufbourg
J
J
D000293:Adolescent; D000328:Adult; D001863:Bone Screws; D002348:Carpal Bones / Q000293:injuries*; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011542:Pseudarthrosis / Q000601:surgery; D012189:Retrospective Studies
Utilisation de la vis de Herbert dans le traitement des fractures et pseudarthroses du scaphoïde carpien. Revue de 25 cas.