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Kim, Whang, and Leem: Operative Treatment of Carpal Scaphoid Fractures with Herbert Screw
Original Article

Journal of the Korean Society of Fractures 1995; 8(1): 206-215.

Published online: 7 July 2016

DOI: https://doi.org/10.12671/jksf.1995.8.1.206

Operative Treatment of Carpal Scaphoid Fractures with Herbert Screw

Sung-Joon Kim, Kuhn-Sung Whang, Jong-Sun Leem

Department of Orthopaedics Surgery, Hanyang University College of Medicine, Seoul, Korea.

Copyright © The Korean Fracture Society

Abstract

Carpal scaphoid fracture is most common in carpal bone injury, but its not easy to diagnose this fracture after affecting the damage, and also is not rane induced avasular neeresis and/or non-union.
13 cases of carpal scaphoid fractures (5 displaced fresh fractures and 8 non-unions) were treated by open reduction and internal fixation with Herbert screw and also cancellous bone graft taking from distal radius were performed on the cases of non-union. The results and conclusions were follows
1. Bony union takes average 11.8 weeks in displaced fresh fractures and average 14.4 weeks in non-unions.
2. By final assessment, excellent result was taken in 10 and good in 3.
3. It might be effective procedure for which cancellous bone was harvested from distal radius of same operative site.
4. Herbert srrew would be one of the good and rigid internal fixation device for the treatment of scaphoid fracture.

Keywords: Fracture, Carpal scaphoid, Internal fixation

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