Volar Percutaneous Fixation of Recent Fracture Scaphoid

Document Type : Original Article

Authors

The Department of Orthopaedic Surgery, Faculty of Medicine, Tanta University

Abstract

Abstract
Background: Scaphoid fracture is the most commonly fractured carpal bone, frequently results from a fall on an outstretched hand with the wrist in extension. The principal treatment methods are cast immobilization or surgery.
Aim of Study: The aim of this study is to evaluate results of volar percutaneous fixation of recent fracture scaphoid.
Patients and Methods: In this prospective study, 21 cases with closed scaphoid fractures were treated with volar percu-taneous fixation by Herbert screw. Clinical and radiological data were analyzed.
Results: These cases were assessed according to modified mayo scoring system. Clinical results were graded as excellent, good, fair as follows: Excellent in 17 patients (8%), good in 3 patients (14%), fair in one patients (5%) the excellent and good results were considered as satisfactory results while the unsatisfactory included the fair results. Thus, satisfactory results were found in 20 patients (95%), and the unsatisfactory results were found in one patient (5%).
Conclusion: This study proves that fixation of recent scaphoid fractures result in predictable satisfactory union rate and functional outcome.

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