The Herbert Screw for Delayed and Non-Union of Scaphoid Fractures: A Review of Fifty Cases
| Autor: | M. H. Matthewson, B. F. Meggitt, P. J. Radford |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Chirurgie orthopedique medicine.medical_treatment Bone Screws Bone grafting Wrist Non union Fracture Fixation Internal Fracture fixation Humans Medicine Carpal Bones Wound Healing Transplantation Bone Transplantation business.industry Herbert screw Surgery medicine.anatomical_structure Fractures Ununited Orthopedic surgery Upper limb Female business |
| Zdroj: | Journal of Hand Surgery. 15:455-459 |
| ISSN: | 0266-7681 |
| Popis: | The results of treatment using the Herbert screw in 50 consecutive patients with delayed or established non-union of the scaphoid are reported. 14% of these fractures failed to unite after operation and a further 20% required prolonged protection, uniting within six months. There were significant technical problems in 28% of operations. A bone graft was only used when there was significant collapse of the scaphoid (52%) and the cases without graft did just as well. Overall, the results do not support the view that this method of treatment is a significant advance over Russe grafting in terms of union rates, but confirm that it produces similar results without the need for prolonged immobilisation and without the need for bone grafting in almost half the cases, although there can be significant technical problems with the procedure. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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