THE HERBERT SCREW FOR DELAYED AND NONUNION OF SCAPHOID FRACTURES - A REVIEW OF 50 CASES

被引:38
作者
RADFORD, PJ
MATTHEWSON, MH
MEGGITT, BF
机构
[1] Addenbrookes Hospital, Cambridge
关键词
D O I
10.1016/0266-7681(90)90089-M
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
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. © 1990, SAGE Publications. All rights reserved.
引用
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页码:455 / 459
页数:5
相关论文
共 9 条
[1]  
BARTON N.J., Results of Russe Grafting for Non-union of the Scaphoid, Journal of Bone and Joint Surgery, 66B, pp. 276-277, (1984)
[2]  
BUNKER T.D., McNAMEE P.B., SCOTT T.D., The Herbert screw for scaphoid fractures. A multicentre study, Journal of Bone and Joint Surgery, 69B, 4, pp. 631-634, (1987)
[3]  
FORD D.J., KHOURY G., EL-HADIDI S., LUNN P., BURKE F.D., The Herbert screw for fractures of the scaphoid. A review of results and technical difficulties, Journal of Bone and Joint Surgery, 69B, 1, pp. 124-127, (1987)
[4]  
GREEN D.P., The effect of avascular necrosis on Russe bone grafting for scaphoid nonunion, Journal of Hand Surgery, 10A, 5, pp. 597-605, (1985)
[5]  
HERBERT T.J., FISHER W.E., Management of the fractured scaphoid using a new bone screw, Journal of Bone and Joint Surgery, 66B, 1, pp. 114-123, (1984)
[6]  
LESLIE I.J., DICKSON R.A., The fractured carpal scaphoid. Natural history and factors influencing outcome, Journal of Bone and Joint Surgery, 63B, 2, pp. 225-230, (1981)
[7]  
PRING D.J., HARTLEY E.B., WILLIAMS D.J., Scaphoid osteosynthesis: early experience with the Herbert bone screw, Journal of Hand Surgery, 12B, 1, pp. 46-49, (1987)
[8]  
RUSSE O., Fracture of the Carpal Navicular. Diagnosis, Non-operative Treatment, and Operative Treatment, Journal of Bone and Joint Surgery, 42A, 5, pp. 759-768, (1960)
[9]  
WARREN-SMITH C.D., BARTON N.J., Non-union of the scaphoid: Russe graft vs Herbert screw, Journal of Hand Surgery, 13B, 1, pp. 83-86, (1988)