This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by RAJAGOPALAN, B. M.
Right arrow Articles by SAMUELS, L. O.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by RAJAGOPALAN, B. M.
Right arrow Articles by SAMUELS, L. O.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?
The Journal of Bone and Joint Surgery 81:48-52 (1999)
© 1999 The Journal of Bone and Joint Surgery, Inc.

Results of Herbert-Screw Fixation with Bone-Grafting for the Treatment of Nonunion of the Scaphoid*

B. M. RAJAGOPALAN, M.D.{dagger}, D. S. SQUIRE, M.D., F.R.C.S.(C){ddagger} and L. O. SAMUELS, B.SC., M.SC.{dagger}, ST. JOHN'S, NEWFOUNDLAND, CANADA

Investigation performed at The Health Sciences Centre and St. Clare's Mercy Hospital, St. John's

We examined twenty-one patients in whom an established nonunion of the scaphoid had been treated with Herbert-screw fixation with bone-grafting; our purpose was to determine the long-term morbidity of the procedure (at an average of forty-eight months; range, seventeen to fifty-five months). According to the modified scaphoid outcome scoring system, eighteen patients had a good or excellent result. No patient had failure of the hardware. Radial deviation was significantly decreased (an average of 17 degrees; 55 percent) compared with that of the contralateral wrist (p = 0.02). The other ranges of motion and the grip strength were also decreased, although the difference was not found to be significant with the numbers available. Three patients had a persistent nonunion, and two of them also had loosening of the hardware. Three patients had a tender hypertrophic scar. On the basis of our data, we concluded that Herbert-screw fixation with bone-grafting is effective for the treatment of nonunion of the scaphoid.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 JBJSHome page
M. Agarwal, C. D. Bond, A. Y. Shin, M. T. McBride, and K. D. Dao
Methods of Cast Immobilization for Nondisplaced Scaphoid Fractures and the Evaluation of Fracture Union
J. Bone Joint Surg. Am., February 1, 2002; 84(2): 319 - 320.
[Full Text] [PDF]

Home page
 JBJSHome page
D. Ring, C. D. Bond, A. Y. Shin, M. T. McBride, and K. D. Dao
Nondisplaced Scaphoid Fractures: Assessment and Treatment
J. Bone Joint Surg. Am., January 1, 2002; 84(1): 144 - 145.
[Full Text]

Home page
 JBJSHome page
C. D. Bond, A. Y. Shin, M. T. McBride, and K. D. Dao
Percutaneous Screw Fixation or Cast Immobilization for Nondisplaced Scaphoid Fractures
J. Bone Joint Surg. Am., April 1, 2001; 83(4): 483 - 483.
[Abstract] [Full Text]