Percutaneous Herbert screw Fixation in Acute Scaphoid Fractures

Journal of the Korean Society for Surgery of the Hand 2001;6(2):148-153.
Published online December 1, 2001.

In Ho Jeon, Poong Taek Kim, Ho Wook Wee

급성 주상골 골절에서 경피적 Herbert 나사못 고정

전인호, 김풍택, 위호욱

Abstract

students, three of them were drivers with average age of 22 years. According to Herbert’s classification, seven fractures were of acute stable type(type A2) and six of the acute unstable(type B2), while none were cases of delayed union type(C). Results : Fracture union was seen at a mean of 9.2 weeks(8 to 12 weeks). Return to work ranged from one day to four weeks according to their occupation. Full flexion, extension and ulnar deviation were achieved in all patients at eight weeks after operation, and two patients lost 10 degrees of radial deviation relative to the others. Conclusion : This percutaneous fixation technique using a Herbert screw is a reliable and effective alternative for acute scaphoid fracture in patients with high demand of upper extremity and enables the patients to use hand earlier.