Herbert-Schraube
A Herbert screw is an instrument used in the internal fixation of an unstable scaphoid fracture. It is a headless screw with the thread along its entire length. The two halves of the screw have a different pitch though, which causes compression of the fracture.
Indications
Unstable scaphoid fractures which include:
- displacement >1 mm
- scapholunate angle >60
- radiolunate angle >15
- delayed/non-union
Disadvantages
- ineffective in long standing non-united scaphoid fractures
Siehe auch:
