Abstract
1. A modification of the McLaughlin technique of lag screw fixation of the fractured scaphoid is described.
2. Fifty-six patients operated upon between 1956 and 1966 have been reviewed and their fractures classified under the headings recent, delayed union and non-union.
3. Plaster casts were avoided and early return to work encouraged; 95 per cent did so within two months.
4. Of twenty-two recent fractures, including three perilunar trans-scaphoid dislocations, nineteen united; of fifteen showing delayed union, eight united: and of nineteen cases of non-union, only two united.
5. The function of the wrist in the seventeen cases of persistent non-union stabilised by lag-screw was surprisingly good; only one patient has required arthrodesis to date.
6. The indications and contra-indications for the operation are discussed.
