Nonunion of the scaphoid in children treated by Herbert screw fixation and bone grafting. A report of five cases.
In children, nonunion of fractures of the waist of the scaphoid is uncommon. Treatment has included bone grafting without internal fixation, bone grafting with Kirschner-wire fixation, and screw fixation without bone grafting. We report the successful use of Herbert screw fixation and iliac-crest bone grafting in five cases, all of which healed without further surgery. At an average follow-up of 3.3 years, the range of motion, grip strength, carpal stability, and radiological appearances were all excellent.
Mintzer
C M
CM
Department of Orthopaedic Surgery, Children's Hospital, Boston, Massachusetts 02115.
Waters
P M
PM
Simmons
B P
BP
D000293:Adolescent; D001265:Athletic Injuries / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001863:Bone Screws; D016025:Bone Transplantation; D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000293:injuries* / Q000503:physiopathology; D002648:Child; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology