Ununited proximal pole scaphoid fractures. Treatment with a Herbert screw in 16 cases followed for 0.5-8 years.
We treated 16 cases of delayed union and nonunion of proximal one-third scaphoid fractures with cancellous bone grafting and retrograde insertion of a Herbert screw through a dorsal approach. Definite radiographic union was obtained in 13 of 16 patients after a median of 2 (0.5-8) years of follow-up. Using Cooney's clinical scoring system, 5 cases were excellent, 5 good, 5 fair and 1 poor. The treatment of ununited proximal pole scaphoid fractures with retrograde insertion of the Herbert screw offers the advantages of a short period of immobilization and a good function.
Inoue
G
G
Department of Orthopaedic Surgery, Nagoya University School of Medicine, Japan.
Shionoya
K
K
Kuwahata
Y
Y
D000293:Adolescent; D000328:Adult; D001863:Bone Screws; D016025:Bone Transplantation; D002348:Carpal Bones / Q000293:injuries*; D005260:Female; D005500:Follow-Up Studies; D017102:Fracture Healing; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000601:surgery*; D018737:Hand Strength; D006801:Humans; D008297:Male; D011859:Radiography; D016059:Range of Motion, Articular; D016896:Treatment Outcome