Richards R R, Khoury G, Young M C
Department of Surgery, St. Michael's Hospital, Toronto, Ont., Canada.
J Hand Surg Am. 1988 May;13(3):428-32. doi: 10.1016/s0363-5023(88)80024-8.
A 20-year-old patient was seen with an unstable, infected, open fracture of the distal phalanx of the long finger of the right dominant hand. The patient was treated by removal of the nail, debridement of the fracture site, and stabilization of the fracture with a Herbert screw. The Herbert screw compressed the fracture site and allowed early active motion of the distal inter-phalangeal (DIP) joint. The wound healed without incident, and the fracture was radiographically united 6 weeks after the procedure. The Herbert screw is useful in the treatment of unstable fractures of the distal phalanx, since the screw maintains reduction, compresses the fracture site, and allows early active motion of the DIP joint.
一名20岁患者因右优势手示指远节指骨不稳定、感染性开放性骨折前来就诊。患者接受了拔甲、骨折部位清创以及用Herbert螺钉固定骨折的治疗。Herbert螺钉压缩骨折部位，使远侧指间（DIP）关节能够早期进行主动活动。伤口顺利愈合，术后6周骨折经X线检查已愈合。Herbert螺钉在治疗远节指骨不稳定骨折方面很有用，因为该螺钉能维持复位、压缩骨折部位，并使DIP关节能够早期进行主动活动。
