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SCREW FIXATION IN THE MANAGEMENT OF THE FRACTURED CARPAL SCAPHOID

Roy H. Maudsley 1; and S. C. Chen 2

1 Heatherwood Hospital, Ascot, and Wexham Park Hospital, Slough, Ascot
2 Heatherwood Hospital, Ascot, and Wexham Park Hospital, Slough, London, England

1. A modification of the McLaughlin technique of lag screw fixation of the fractured scaphoid is described.

2. Fifty-six patients operated upon between 1956 and 1966 have been reviewed and their fractures classified under the headings recent, delayed union and non-union.

3. Plaster casts were avoided and early return to work encouraged; 95 per cent did so within two months.

4. Of twenty-two recent fractures, including three perilunar trans-scaphoid dislocations, nineteen united; of fifteen showing delayed union, eight united: and of nineteen cases of non-union, only two united.

5. The function of the wrist in the seventeen cases of persistent non-union stabilised by lag-screw was surprisingly good; only one patient has required arthrodesis to date.

6. The indications and contra-indications for the operation are discussed.
(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General