G. Inoue et al., UNUNITED PROXIMAL POLE SCAPHOID FRACTURES - TREATMENT WITH A HERBERT-SCREW IN 16 CASES FOLLOWED FOR 0.5-8 YEARS, Acta orthopaedica Scandinavica, 68(2), 1997, pp. 124-127
We treated 16 cases of delayed union and nonunion of proximal one-thir
d scaphoid fractures with cancellous bone grafting and retrograde inse
rtion of a Herbert screw through a dorsal approach. Definite radiograp
hic union was obtained in 13 of 16 patients after a median of 2 (0.5-8
) years of follow-up. Using Cooney's clinical scoring system, 5 cases
were excellent, 5 good, 5 fair and 1 poor. The treatment of ununited p
roximal pole scaphoid fractures with retrograde insertion of the Herbe
rt screw offers the advantages of a short period of immobilization and
a good function.