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The Bone & Joint Journal

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The Journal of Bone & Joint Surgery British Volume
Vol. 69-B, Issue 1 | Pages 124 - 127
1 Jan 1987
Ford D Khoury G el-Hadidi S Lunn P Burke F

We have reviewed 22 patients with scaphoid fractures treated by internal fixation with the Herbert screw. Three patients had trans-scaphoid perilunar dislocations, one had an oblique displaced fracture of the waist of the scaphoid and 18 had fractures with delayed or non-union. Corticocancellous bone grafts were added in nine of the cases of non-union. Results were excellent or good in 80% of cases after a mean duration of postoperative immobilisation of four weeks. The technical difficulties are analysed and the problems of applying the jig and of operative exposure are discussed.