Treatment of Acute Stable Scaphoid Fracture Using the Percutaneous Herbert Screw Fixation -Case Report-

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Journal of the Korean Society for Surgery of the Hand 1999;4(1):29-34.
Published online January 1, 1999.

Poong Taek Kim,Byung Chul Park,Joo Chul Ihn,Chung Hyun Lee

경피적 Herbert나사를 이용한 급성 안정성 주상골 골절의 치료 -증례보고-

김풍택,박병철,인주철,이충현

Abstract

Fracture of the carpal scaphoid is one of the most common injury occuring in the wrist joint. Scaphoid fracture is classified by Herbert classification. In acute stable scaphoid fracture (Herbert type A2) is generally managed conservatively with plaster cast. However, long term immobilization causes inconvenience of daily living and more importantly, prohibits an early return to work even for the person who is not a heavy laborer. Since the Herbert bone screw gives rigid internal fixation of bone fragments and allow early mobilization of the wrist. The screw is inserted into the scaphoid through a small skin incision just over the scaphotrapezial joint using a free-hand procedure monitered under image intensifier. We does not used jig. This is the case reports of the acute stable scaphoid fracture using the percutaneous Herbert screw fixation. Results of both cases are excellent. We resolved the problems of the long term plaster cast by percutaneous Herbert screw fixation.

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