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Journal of Hand Surgery (British and European Volume)
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Articles

Trapezio-Lunate External Fixation for Scaphoid Fractures

An experimental and clinical study

I. GÜNAL
V. ÖZTUNA
S. SEBER

From the Department of Orthopaedics, School of Medicine, Osmangazi University, Eskisehir, Turkey

Correspondence: Dr I. Günal, Porsuk Bulvari, Marti Apt. N:65, 2. 26010 Eskisehir, Turkey.

Trapezio-lunate external fixation for scaphoid fractures has been investigated experimentally and clinically. Six below-elbow fresh amputation specimens in which proximal, waist and distal scaphoid fractures were created, displaced, reduced and externally fixed were used for an experimental study and after 10,000 extension-flexion movements of the wrist, no displacement was observed. A strain-gauge study confirmed the strains at the fracture site.

Seven patients were treated in this way. No immobilization was necessary and all patients returned to their regular employment within 3 days and all fractures were united without displacement. The technique overcomes certain disadvantages of plaster fixation and internal fixation of scaphoid fractures.

Journal of Hand Surgery (British and European Volume), Vol. 19, No. 6, 759-762 (1994)
DOI: 10.1016/0266-7681(94)90254-2
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