title: [Treatment of Herbert B2-type scaphoid fracture with double screws prograde internal fixation through volar approach].
abstract: OBJECTIVE
  To explore the clinical and function efficacy of the treatment of Herbert B2-type scaphoid fracture through volar approach with double screws prograde internal fixation.
  
  
  METHODS
  From December 2005 to June 2010,18 patients with Herbert B2-type scaphoid fracture were treated with double screws prograde internal fixation through volar approach, including 14 males and 4 females with an average age of 33.11 years (ranged from 21 to 52 years). The fracture healing situation was evaluated by X-ray examination. Functional outcome was assessed by using Modified Mayo wrist score.
  
  
  RESULTS
  All patients were followed up with a mean time of (25.06 +/- 4.00) months. The bone healing time was (3.55 +/- 0.65) months. The pain,passive range of motion, grip of wrist were improved at 4 months after operation (P < 0.05). The Mayo wrist score were improved from preoperative 42.78 +/- 7.32 at 4 months after operation (93.89 +/- 5.83) (P < 0.05), the results were excellent in 9 cases and good in 9 cases.
  
  
  CONCLUSIONS
  Volar approach with double screws prograde internal fixation is an efficacy and safety surgical technique for Herbert B2-type scaphoid fracture.
authors: Wei-Jie
authors: WJ
authors: Hu
authors: Jia-Yuan
authors: JY
authors: Hong
authors: Qiang
authors: Q
authors: Liu
authors: Li-Ping
authors: LP
authors: Huang
mesh_terms: D000328:Adult; D001863:Bone Screws; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D053401:Palmar Plate / Q000601:surgery*; D016059:Range of Motion, Articular; D021361:Scaphoid Bone / Q000293:injuries / Q000601:surgery*; D014954:Wrist Injuries / Q000503:physiopathology / Q000601:surgery*; D055815:Young Adult