Van der Maren C, Van Overstraeten L, Lewalle J, Mullier J, Autrique J C, Thiéry J, Deneufbourg J
Service de Chirurgie Orthopédique et de Traumatologie, Clinique St-Pierre, Ottignies.
Rev Chir Orthop Reparatrice Appar Mot. 1989;75(1):19-25.
The Authors have reviewed the charts of 25 patients with scaphoid lesions treated with the Herbert screw and this study reports their personal experience. Between September 1983 and December 1986, 4 fresh fractures, 5 delayed unions and 16 pseudarthrosis were treated by means of this osteosynthesis procedure. The mean follow-up was 22 months. Bony union occurred in 21 patients. The series contains 2 failures defined as an absence of bony union after a post-operative delay of more than 6 months. There were 2 other cases considered as doubtful unions on X-rays. Wrist function, nevertheless, was restored in 23 patients. Plaster immobilization did not appear to be essential for every case. The short leave of absence, averaging 2 months only, is also in favour of this technique.
作者回顾了25例采用Herbert螺钉治疗舟骨损伤患者的病历，并报告了他们的个人经验。在1983年9月至1986年12月期间，通过这种骨固定手术治疗了4例新鲜骨折、5例延迟愈合和16例假关节。平均随访时间为22个月。21例患者实现了骨愈合。该系列中有2例失败病例，定义为术后延迟超过6个月仍未实现骨愈合。另外还有2例在X射线下被认为是可疑愈合的病例。然而，23例患者的腕关节功能得以恢复。石膏固定似乎并非对每个病例都必不可少。平均仅2个月的短期缺勤也支持这种技术。
