PMID: 8986659Dec 1, 1996Paper

Non-union of the scaphoid. Treatment with cannulated screws compared with treatment with Herbert screws

The Journal of Bone and Joint Surgery. American Volume
T E TrumbleH J Kreder

Abstract

We retrospectively reviewed the results for thirty-four patients in whom a non-union of the scaphoid had been treated with bone-grafting and internal fixation with use of one of two types of screws as well as the temporary placement of Kirschner wires parallel to the screw to prevent rotation. The patients were divided into two groups: Group 1 contained sixteen patients who had been managed with a Herbert screw from 1986 through 1989 and Group 2, eighteen patients who had been managed with a 3.5-millimeter cannulated AO/ASIF screw from 1990 through 1992. There were no clinical or radiographic differences between the two groups. The time to union, confirmed with tomography, was 7.6 +/- 3.6 months for Group 1 and 3.6 +/- 1.2 months for Group 2. This difference was significant (p < 0.01). Both screws significantly improved the alignment of the scaphoid and decreased carpal collapse (p < 0.05). Regardless of the type of screw used, the time to union was significantly shorter when the screw had been placed in the central one-third of the scaphoid (p < 0.05). Seventeen of the eighteen cannulated screws had been placed centrally, compared with seven of the sixteen Herbert screws (p < 0.01).

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Citations

Jan 21, 2003·The Journal of Bone and Joint Surgery. American Volume·Wren V McCallisterThomas E Trumble
Feb 21, 2006·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·C P LittleP Burge
Mar 29, 2006·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Katsumi Takase, Kengo Yamamoto
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Aug 12, 2009·Clinical Orthopaedics and Related Research·Jae Kwang KimSeung Yup Lee
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Feb 6, 2020·The Journal of Hand Surgery, European Volume·JungJun HongHo-Jung Kang
Aug 22, 2000·The Journal of the American Academy of Orthopaedic Surgeons·D RingJ H Herndon
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May 20, 2000·The Journal of Bone and Joint Surgery. American Volume·T E TrumbleW V McCallister
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