NON-UNION OF PROXIMAL POLE SCAPHOID FRACTURE TREATED WITH RETROGRADE HERBERT SCREW FIXATION TECHNIQUE

Bhardwaj Akshay¹, Sharma Gaurav^2, , Dubey Shubhangi³ and Relwani Nisha⁴

¹Department of Orthopaedics, DDU Hospital, Hari nagar, New Delhi

²Department of Orthopaedics, Prakash Institute of Medical sciences, Islampur-Sangli road, Tal-Walwa, Sangli, Uran, Islampur-415409, Maharashtra.

³Department of Orthopaedics , Dr Baba sahib Ambedkar Hospital, Rohini, New Delhi.

⁴Department of Community Medicine, MGM Medical College, Navi-Mumbai, Maharashtra, India.

Cite this paper:
Bhardwaj Akshay, Sharma Gaurav, Dubey Shubhangi and Relwani Nisha. NON-UNION OF PROXIMAL POLE SCAPHOID FRACTURE TREATED WITH RETROGRADE HERBERT SCREW FIXATION TECHNIQUE. International Journal of Clinical and Diagnostic Research. 2018; 6(1):11-16. doi: 10.12691/ijcdr-6-1-2

Abstract

Treatment of proximal pole Scaphoid fractures warrants urgent attention as they are prone to osteonecrosis and non-union with an incidence of 53%-92%. We report a case of proximal pole scaphoid fracture which was initially treated conservatively and presented 8 months later with fibrous non-union. The patient was treated with Herbert compression screw through dorsal approach. There were no signs of recurrence at 2 years follow-up. Herbert screw without bone graft can give adequate and required compression with good functional outcome.

Keywords:
Proximal pole Scaphoid fracture

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