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Trauma

HERBERT SCREW FIXATION BY LIMITED ACCESS FOR ACUTE FRACTURES OF THE SCAPHOID



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Abstract

We describe a semi-closed method of Herbert screw fixation for acute fractures of the scaphoid. All 40 patients treated achieved solid union with satisfactory wrist function. This technique gave a significantly shorter time to union and allowed an earlier return to manual labour compared with conservative treatment. There were no complications.

Semi-closed insertion requires considerable skill, but produces consistently satisfactory results after minimal exposure of the scaphoid.


Correspondence should be sent to Dr G. Inoue.

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