36-208

El tornillo de Herbert en el tratamiento de la pseudoartrosis de escafoides.

Herbert screw in the treatment of nonunion of carpal scaphoid.

B. SERAL GARCIA. J. MODREGO ARANDA, J. MANUEL LASIERRA . F. SERAL IÑIGO. DEPARTAMENTO DE CIRUGÍA. UNIVERSIDAD DE ZARAGOZA. SERVICIO DE TRAUMATOLOGÍA Y CIRUGÍA ORTOPÉDICA. HOSPITAL CLÍNICO UNIVERSITARIO. ZARAGOZA.
Recepción:
16/09/2008
Aceptación:
16/09/2008
Publicación:
16/09/2008


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Resumen (ES)

The treatment of scaphoid non-union must obtain
anatomic restoration, filling of the defect and rigid fixation.
We present 13 cases treated with allograft and fixation with
Herbert screw with a mean follow-up of 4-years. The assessment
included duration of pseudoarthrosis, classification and
localisation, necrosis of the proximal pole, deformity and stability.
Healing was achieved in 84% of the cases in a mean
time of 4,3 months. Seven patients were symptoms-free, 3 had
pain with forced motion and 3 had pain with efforts.

Palabras clave (ES):

Operatorio
Muñeca
Carpo
Escafoides
Carpiano
Fractura
Tornillo
Herbert
Tratamiento
Fijación
Quirúrgico
Sedouartrosis

Resumen (EN)

The treatment of scaphoid non-union must obtain
anatomic restoration, filling of the defect and rigid fixation.
We present 13 cases treated with allograft and fixation with
Herbert screw with a mean follow-up of 4-years. The assessment
included duration of pseudoarthrosis, classification and
localisation, necrosis of the proximal pole, deformity and stability.
Healing was achieved in 84% of the cases in a mean
time of 4,3 months. Seven patients were symptoms-free, 3 had
pain with forced motion and 3 had pain with efforts.

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