Herbert T J, Fisher W E
J Bone Joint Surg Br. 1984 Jan;66(1):114-23. doi: 10.1302/0301-620X.66B1.6693468.
A new and simple operative technique has been developed to provide rigid internal fixation for all types of fractures of the scaphoid. This involves the use of a double-threaded bone screw which provides such good fixation that, after operation, a plaster cast is rarely required and most patients are able to return to work within a few weeks. A classification of scaphoid fractures is proposed. The indications for operation included not only acute unstable fractures, but also fractures with delayed healing and those with established non-union; screw fixation was combined with bone grafting to treat non-union. In a prospective trial, 158 operations using this technique were carried out between 1977 and 1981. The rate of union was 100 per cent for acute fractures and 83 per cent overall. This method of treatment appears to offer significant advantages over conventional techniques in the management of the fractured scaphoid.
已开发出一种新的简单手术技术，可为舟骨的所有类型骨折提供坚强的内固定。这涉及使用双螺纹骨螺钉，其提供了如此良好的固定，以至于术后很少需要石膏固定，并且大多数患者能够在几周内恢复工作。提出了舟骨骨折的分类。手术适应症不仅包括急性不稳定骨折，还包括愈合延迟的骨折和已形成骨不连的骨折；螺钉固定与植骨相结合治疗骨不连。在一项前瞻性试验中，1977年至1981年间使用该技术进行了158例手术。急性骨折的愈合率为100%，总体愈合率为83%。在处理舟骨骨折方面，这种治疗方法似乎比传统技术具有显著优势。
