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Les fractures et pseudarthroses polaires proximales du scaphoïde carpien. Ostéosynthèse par vissage de proximal à distal

1988; Elsevier BV; Volume: 7; Issue: 2 Linguagem: Inglês

10.1016/s0753-9053(88)80044-9

1878-0733

J.Y. Alnot, N. Bellan, C. Oberlin, C. De Cheveigné,

Elbow and Forearm Trauma Treatment

We report a new proximal to distal screw fixation technique for proximal pole fractures and non unions of the carpal scaphoid (type I of the Schernberg, Elzein and Gerard classification). Seven cases of non union with a live proximal polar fragment were operated from 1984 to 1986 with 4 excellent and 2 fair results and one failure. Three recent displaced fractures were also treated this way, with 3 excellent results. This useful technique is worth knowing and deserves a place in the treatment of scaphoid fractures, especially type I proximal pole fractures which represent a challenging problem, and are in no way comparable to other locations.