PMID: 9446231Jan 31, 1998Paper

Use of the Herbert screw with the freehand method for osteosynthesis of acute scaphoid fracture

Der Unfallchirurg
R B BrauerK D Werber

Abstract

Scaphoid fracture is, in most cases, usually still treated conservatively. The disadvantages of long-term immobilization are stiffness of the wrist joint, loss of strength and higher costs. The osteosynthesis of the scaphoid fracture with the Herbert bone screw restores the exact form and length and the normal position of the scaphoid to the other carpal bones. It prevents non-unions, arthrosis and other late complications. The Freehand method is used as a percutaneous technique without utilization of a jig. The scaphoid fracture is treated with closed reduction and osteosynthesis is performed with the Herbert bone screw. The percutaneous technique preserves the inter- and intracarpal ligaments, the vascular supply and the articular surfaces of the scaphoid. Osteosynthesis by the Freehand method is sufficiently stable to withstand early functional moves on the first postoperative day.

Citations

Nov 19, 2009·Archives of Orthopaedic and Trauma Surgery·Michael Schädel-HöpfnerHartmut R Siebert
Nov 27, 2015·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·A Arsalan-WernerI M Mehling
Mar 29, 2014·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·M HoffmannS Yarar
Mar 11, 2004·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·M Y PapaloizosJ B Wasserfallen
Mar 17, 2011·International Journal of Emergency Medicine·Steven J RhemrevInger B Schipper
Dec 13, 2018·Der Unfallchirurg·F NeubrechM Sauerbier

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