PERCUTANEOUS SCREW FIXATION FOR FRACTURES OF SCAPHOID
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 1
Abstract
BACKGROUND On displaced scaphoid fractures treated with prolonged cast immobilisation may result in temporary joint stiffness and muscle weakness in addition to a delay in return to sports or work. Fixation of scaphoid fractures with a percutaneous screw has resulted in a shorter time to union and to return to work or sports. The purpose of this study was to evaluate the results of percutaneous screw fixation scaphoid fractures with respect to time to radiographic union and to return to work. MATERIALS AND METHODS In 18 patients with fracture of the scaphoid, fixation with a percutaneous screw was done. Time to fracture union, wrist motion, grip strength and return to work as well as overall patient satisfaction at the time of a two-year follow-up were evaluated. RESULTS Of the 18 patients in the study, mean radiological fracture union time was 10 weeks (range 8-15 weeks). Wrist function was excellent in 10 cases, good in remaining 5 cases and poor in 3 cases. The mean DASH score in all patients at the end of one year was 23.16. Patients had returned to work after an average of 1 month. CONCLUSION Percutaneous screw fixation of scaphoid fractures resulted in faster radiographic union and return to function. The specific indications for and the risks and benefits of percutaneous screw fixation of such fractures must be determined in larger randomised prospective studies.
Authors and Affiliations
Samarth Singh, Saket Jati
Keywords
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- EP ID EP210962
- DOI 10.18410/jebmh/2017/3
- Views 98
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