Herbert screw fixation by limited access for acute fractures of the scaphoid.
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.
Inoue
G
G
Department of Orthopaedic Surgery, Nagoya University School of Medicine, Showa-ku, Japan.
Shionoya
K
K
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D001863:Bone Screws; D001864:Bone Wires; D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D002370:Casts, Surgical; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000628:therapy; D011859:Radiography