Herbert Screw Fixation By Limited Access For Acute Fractures Of The Scaphoid

Authors:
  • KSK. Shionoya
    K. Shionoya
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Abstract
We describe a semi-closed method of Herbert screw fixation for acute fractures of the scaphoid. All 40 patients treated achieved solid union with satisfactory wrist function. This technique gave a significantly shorter time to union and allowed an earlier return to manual labour compared with conservative treatment. There were no complications. Semi-closed insertion requires considerable skill, but produces consistently satisfactory results after minimal exposure of the scaphoid.