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주상골 근위 골절 불유합의 역방향 Herbert 나사 내고정술

Other Titles
 Retrograde Herbert Screw Fixation in Treatment of Nonunion of Porximal Scaphoid Fractures 
 강호정  ;  이상호  ;  송계욱  ;  한수봉  ;  강응식 
 Journal of the Korean Society for Surgery of the Hand, Vol.7(1) : 8-14, 2002 
Journal Title
 Journal of the Korean Society for Surgery of the Hand (대한수부외과학회지) 
Issue Date
Scaphoid ; Proximal pole ; Fracture ; Nonunion ; Herbert screw ; Retrograde fixation
We reviewed eight cases of patients who underwent retrograde Herbert screw fixation with autogenous bone graft for treatment of proximal pole scaphoid nonunions. Most nonunion of the carpal scaphoid can be treated with a high rate of success by use of conventional bone grafting techniques. However, fractures with a small proximal pole fragment may be difficult to treat by use of these techniques. Eight patients with proximal pole scaphoid fractures with nonunion were treated with retrograde Herbert screw fixation using the dorsal approach and autogenous bone grafting. All patients were immobilized after operation with cast immobilization for an average of seven weeks. Eight patients were all males, with ages ranging between 23 to 26 years. Among the eight cases, four patients were neglected for an average of 13 months, three patients were treated with cast immobilization for 8 weeks, and one patient had a previous surgical treatment. Union was achieved in all cases and average time to union was 15.3 weeks. Among 8 cases 4 had excellent results and 4 had fair results, according to Maudsley and Chen protocols. Retrograde Herbert screw fixation should be considered in the treatment of small proximal pole fracture of scaphoid with nonunion.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Eung Shick(강응식)
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
Hahn, Soo Bong(한수봉)
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