Scaphoid osteosynthesis: Early experience with the herbert bone screw

The results of our first fourteen patients with fractured scaphoids treated with the Herbert bone screw have been disappointing. Six have failed to unite. The operation is technically demanding and there is a high incidence of malpositioning of the screw which correlates with failure to achieve unio...

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Bibliographic Details
Published inJournal of hand surgery, British volume Vol. 12; no. 1; pp. 46 - 49
Main Authors Pring, D.J., Hartley, E.B., Williams, D.J.
Format Journal Article
LanguageEnglish
Published Edinburgh Elsevier Ltd 01.02.1987
Churchill Livingstone
Subjects
Biological and medical sciences
Bone Screws
Carpal Bones - injuries
Fracture Fixation, Internal
Fractures, Bone - surgery
Humans
Injuries of the limb. Injuries of the spine
Medical sciences
Traumas. Diseases due to physical agents
Human
Os naviculare carpi
Screw
Surgery
Diseases of the osteoarticular system
Osteosynthesis
Fracture
Hand
Trauma
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Summary:The results of our first fourteen patients with fractured scaphoids treated with the Herbert bone screw have been disappointing. Six have failed to unite. The operation is technically demanding and there is a high incidence of malpositioning of the screw which correlates with failure to achieve union. This is predictable from initial radiographs and peroperative radiology is advised. The osteosynthesis should be protected until union has occurred radiologically, especially in manual workers.
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ISSN:0266-7681
1532-2211
DOI:10.1016/0266-7681(87)90054-4