Percutaneous fixation of acute scaphoid fractures | ||||
| The Egyptian Orthopaedic Journal | ||||
| Volume 48, Issue 4, October 2013, Page 385-389 PDF (1.02 MB) | ||||
| DOI: 10.4103/1110-1148.130515 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Sameh A. El-Fadl; Khaled Salama | ||||
| Abstract | ||||
| Background Fractures of the scaphoid are common in young men. Cast immobilization usually means a long period away from work and athletic activities. Early rigid fixation has been shown to promote a rapid functional recovery, but open reduction and internal fixation is technically demanding with the risk of damage to the radiocarpal ligaments, the scaphotrapezial joint, and the blood supply of the scaphoid. Purpose The aim of this prospective case series study was to evaluate percutaneous scaphoid fixation for minimally displaced or undisplaced B1 or B2 fractures with respect to time to radiographic union and return to work. Patients and methods We report our technique and the results of a prospective study in 12 patients with acute scaphoid fractures. Patients were assessed functionally using the Mayo wrist score and by radiography. The patients were followed up until evidence of radiologic union (35–70 days), with an average of 55 days. Results Ten patients had excellent score and two patients had good score according to the Mayo wrist score. According to patients’ occupations, return to work ranged from 14 to 40 days. With respect to radiologic union, fractures were united at a mean of 55 days (35–70 days). Conclusion Percutaneous fixation for acute scaphoid fractures using Herbert screws is a satisfactory method and gives rapid functional recovery. | ||||
| Keywords | ||||
| Herbert screws; Percutaneous fixation; Scaphoid fractures | ||||
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