PMID: 16518213Mar 7, 2006Paper

Minimal invasive treatment for scaphoid fractures using the cannulated herbert screw system

Techniques in Hand & Upper Extremity Surgery
Veith L MoserT J Herbert

Abstract

Internal fixation of scaphoid fractures avoids the problems associated with prolonged plaster immobilization and, at the same time, allows an early return to activity for these mostly young patients.Internal fixation of the scaphoid is greatly facilitated by the use of specially designed headless bone screws, such as the Herbert bone screw, originally developed specifically for internal fixation of the scaphoid; furthermore, the advent of cannulated scaphoid screws has made closed (percutaneous fixation) stabilization of the scaphoid a reality. Indeed, this method has now become the treatment of choice for the majority of acute scaphoid fracture, bringing with it all the advantages of internal fixation without the disadvantages of open surgery.However, the success of closed treatment is also dependent on an accurate assessment of the fracture, and for this reason, we now advocate the routine use of computed tomography preoperatively. Because of the complex, 3-dimensional shape of the scaphoid, simple x-rays alone are inadequate, whereas computed tomography, parallel to the long axis of the scaphoid, allows excellent visualization of the fracture and any associated deformity, which must be corrected at the time of surgery.We des...Continue Reading

References

Jan 1, 1991·The Journal of Bone and Joint Surgery. British Volume·G E Wozasek, K D Moser
Jan 1, 1984·The Journal of Bone and Joint Surgery. British Volume·T J Herbert, W E Fisher
Mar 1, 1996·The American Journal of Sports Medicine·A C Rettig, S C Kollias
May 1, 1997·The Journal of Bone and Joint Surgery. British Volume·G Inoue, K Shionoya
Feb 14, 1998·The Journal of Bone and Joint Surgery. British Volume·F S Haddad, N J Goddard
Feb 25, 1998·The American Journal of Sports Medicine·G R MackS A McPherson
Dec 22, 1999·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·V V DesaiN J Barton
Aug 22, 2000·The Journal of the American Academy of Orthopaedic Surgeons·D RingJ H Herndon
Dec 1, 2000·Der Unfallchirurg·H KrimmerT Herbert

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Citations

Nov 15, 2012·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Pavel DracJana Zapletalova
Jun 4, 2008·The Journal of Bone and Joint Surgery. American Volume·Bertil VinnarsBengt Gerdin
May 23, 2015·The Journal of Bone and Joint Surgery. American Volume·Frederik Verstreken, Geert Meermans
Apr 3, 2021·Hand Surgery and Rehabilitation·R FoissacO Camuzard
Jan 4, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Isabel GraulGunther O Hofmann

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