G. Inoue et K. Shionoya, HERBERT SCREW FIXATION BY LIMITED ACCESS FOR ACUTE FRACTURES OF THE SCAPHOID, Journal of bone and joint surgery. British volume, 79B(3), 1997, pp. 418-421
We describe a semi-closed method of Herbert screw fixation for acute f
ractures 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. Sem
i-closed insertion requires considerable skill, but produces consisten
tly satisfactory results after minimal exposure of the scaphoid.