Hervert screw fixation for scaphoid non-unions.
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Four scaphoid non-unions had Hervert screw fixation. One case failed technically and became non-union once more subsequently. But the other three cases had good unions and excellent clinical results.Hervert screw fixation do not require long-term cast immobilization in comparison with Russe grafts. However, as a problem in operative technique, two points are raised. Firstly, DISI deformity should be corrected certainly and sufficiently. Secondly, the tip of the jig should be placed on the proximal pole of the scaphoid and scaphotrapezium joint should be dissected sufficiently. Although the technique is demanding, Hervert screw can achieve excellent results in the management of scaphoid non-unions.
- 西日本整形・災害外科学会の論文
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