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《Journal of Jinan University(Natural Science & Medicine Edition)》 2004-06
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Treatment of instable scaphoid fracture with herbert screw through percutaneous palmar approach and instilled with aFGF

LIN Hong-sheng~1, YAO Ping~2, LIU Ning~1, WU Hao~1, Axel Ekkernkamp~3 (1. Dept. of Orthopaedics, First Affiliated Hospital, Jinan University, Guangahou 510630, China; 2. Dept. of Physiology, Midical College, Jinan University, Guangahou 510632, China; 3. Dept. of Trauma and Reconstructive Surgery, Unfallkrankenhause Berlin, Berlin 12683, Germany)  
Aim: To evaluate clinical value of treatment of instable scaphoid fracture with Herbert screw through percutaneus palmar approach and the effect of hyaluronic acid gel (HAG) combined with acid fibroblast growth factor (aFGF) on promoting the healing of scaphoid fracture. Methods: Twenty-six cases with of instable scaphoid fracture were treated with Herbert screw through percutaneous palmar approach, combined with using HAG and aFGF instilled into the place of fracture at operation. Results: Twenty-five patients of 26 were followed up for an average 11.4 months. The average healing period of 25 cases was 3.6 months. No case had wrist pain. All cases had good grip strength. There were 23 cases with normal wrist motion in flexion and extension, radial deviation and ulnar deviation, only 2 cases with light limited wrist motion. Conclusion: Inner fixation with Herbert screw through percutaneous palmar approach is a preferable method for instable scaphoid fracture, with less trauma, rigider fixation, earlier rehabilitation, better function in wrist motion and not necessary to removal the implant. HAG combining with aFGF instilled into the place of fracture at operation might promote fracture healing.
【Fund】: 广东省卫生厅医学科研项目(A2004345)
【CateGory Index】: R687.3
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