Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Surgery with a Herbert Screw Shortened Sick Leave and Was as Effective as a Short-Arm Cast for Carpal Scaphoid Fracture : Fracture of the carpal scaphoid. A prospective, randomised 12-year follow-up comparing operative and conservative treatment. J Bone Joint Surg Br. 2001 Mar;83:230-4

Surgery with a Herbert Screw Shortened Sick Leave and Was as Effective as a Short-Arm Cast for... Question: In patients with fracture of the carpal scaphoid, how do the long-term effects of surgical treatment with fixation by a Herbert screw compare with those of conservative treatment with a short-arm plaster cast? Design: Randomized (allocation concealed), unblinded, controlled trial with a 12-year follow-up. Setting: A hospital in Stockholm, Sweden. Patients: 61 patients (mean age, 33 years) who had an acute fracture at the first radiographic examination were included (62 fractures; 79% of fractures were in men). Exclusion criteria were fractures through the tuberosity of the scaphoid or radiographic signs of delayed union or pseudarthrosis. 82% of patients (82% of fractures) were followed at 12 years. Intervention: Fractures were allocated to surgery with use of a Herbert screw (n = 32) or to conservative treatment with a short-arm plaster cast (from below the elbow to the metacarpophalangeal joints of the fingers and to the interphalangeal joint of the thumb) (n = 30). In the operative group, two surgeons used a volar approach with a tourniquet (mean operating time, 54 min). Main outcome measures: Duration of sick leave, pain and discomfort at 12 years, and functional ability of the wrist. Radiography was done in <70% of patients at http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Bone and Joint Surgery Wolters Kluwer Health

Surgery with a Herbert Screw Shortened Sick Leave and Was as Effective as a Short-Arm Cast for Carpal Scaphoid Fracture : Fracture of the carpal scaphoid. A prospective, randomised 12-year follow-up comparing operative and conservative treatment. J Bone Joint Surg Br. 2001 Mar;83:230-4

Loading next page...
 
/lp/jb-js/surgery-with-a-herbert-screw-shortened-sick-leave-and-was-as-effective-ZwQlmr1bgO

References

References for this paper are not available at this time. We will be adding them shortly, thank you for your patience.

Publisher
Wolters Kluwer Health
Copyright
Copyright © 2001 by The Journal of Bone and Joint Surgery, Inc.
ISSN
0021-9355
Publisher site
See Article on Publisher Site

Abstract

Question: In patients with fracture of the carpal scaphoid, how do the long-term effects of surgical treatment with fixation by a Herbert screw compare with those of conservative treatment with a short-arm plaster cast? Design: Randomized (allocation concealed), unblinded, controlled trial with a 12-year follow-up. Setting: A hospital in Stockholm, Sweden. Patients: 61 patients (mean age, 33 years) who had an acute fracture at the first radiographic examination were included (62 fractures; 79% of fractures were in men). Exclusion criteria were fractures through the tuberosity of the scaphoid or radiographic signs of delayed union or pseudarthrosis. 82% of patients (82% of fractures) were followed at 12 years. Intervention: Fractures were allocated to surgery with use of a Herbert screw (n = 32) or to conservative treatment with a short-arm plaster cast (from below the elbow to the metacarpophalangeal joints of the fingers and to the interphalangeal joint of the thumb) (n = 30). In the operative group, two surgeons used a volar approach with a tourniquet (mean operating time, 54 min). Main outcome measures: Duration of sick leave, pain and discomfort at 12 years, and functional ability of the wrist. Radiography was done in <70% of patients at

Journal

Journal of Bone and Joint SurgeryWolters Kluwer Health

Published: Nov 1, 2001

There are no references for this article.