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Journal of Bone and Joint Surgery - British Volume, Vol 69-B, Issue 1, 124-127
Copyright © 1987 by British Editorial Society of Bone and Joint Surgery

Articles

The Herbert screw for fractures of the scaphoid. A review of results and technical difficulties

DJ Ford, G Khoury, S el-Hadidi, PG Lunn, and FD Burke

We have reviewed 22 patients with scaphoid fractures treated by internal fixation with the Herbert screw. Three patients had trans-scaphoid perilunar dislocations, one had an oblique displaced fracture of the waist of the scaphoid and 18 had fractures with delayed or non-union. Corticocancellous bone grafts were added in nine of the cases of non-union. Results were excellent or good in 80% of cases after a mean duration of postoperative immobilisation of four weeks. The technical difficulties are analysed and the problems of applying the jig and of operative exposure are discussed.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General