Related Experiment Video
Updated: May 4, 2026
C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position
Published on: September 16, 2022
Percutaneous Herbert screw osteosynthesis in trans-scaphoid perilunate fracture-dislocations
1Discipline of Orthopedics-Traumatology, Faculty of Medicine, University of Medicine and Pharmacy "Grigore T. Popa" - Iasi.
Unlabelled:
Trans-scaphoid perilunate fracture-dislocation is the most common variety of fracture-dislocations of the wrist. Because of the carpal scaphoid fracture association, post-reduction stability is poor, often requiring surgery. Of the several surgical techniques used over time, percutaneous screw fixation for scaphoid fracture is currently preferred.
Material And Methods:
Six cases of trans-scaphoid perilunate fracture-dislocation were surgically treated by percutaneous reduction of the scaphoid fracture and percutaneous insertion of Herbert screw in a proximal to distal manner. Postoperative immobilization was followed by rapid resumption of wrist mobility.
Results:
Four of the six patients have resumed normal, painless mobility of the wrist within 3 to 6 weeks post immobilization; in the remaining two cases there were a slight wrist stiffness attributed to persistent slight rotatory deficiency between the fractured scaphoid fragments.
Conclusions:
The percutaneous Herbert screw fixation provides a firm fixation with good compaction of scaphoid fracture, enough stability to allow minimal soft tissue and local damage, early mobilization following minimal immobilization, and thus rapid healing.
