Different modalities in management of acute scahphoid fracture

Abstract

Background . Background Scaphoid fractures constitute around 2-3% of all fractures and about 10% of all the fractures in the hand. The indication of closed treatment of fractures with scaphoid is generally confined to stable fractures without displacements. Kirschner wires, screws and staples incorporate operational approaches. Both flying and dorsal methods have been documented as percutaneous methods (pins and cannulated screws). Purpose The objective of the research is to undertake a comprehensive analysis of previous available research on various ways of managing acute scaphoid fractures. Patients and procedures The search for literature was done using PubMed, SCOPUS, Web of Science, and the Cochrane Library. Search and filtering literature produced 7 full text publications (254 patients), randomised controlled trials were included. Results Surgical fixation on scaphoid fractures results in better rates of union and quick union times of 5 to 9 weeks. As for casting, the union usually takes around 7 to 16 weeks and the union rate is between 85 and 90%. ROM 90 percent -97 percent following conservative scaphoid fracture therapy, whereas surgical therapy was 88 percent -97 percent. Grip strength was 88%-98% improvement with conservative therapy and 84%-94% following surgical therapy. The return to work was surgery for 6-8 weeks before, but for those who were receiving conservative therapy it was 4-15,5 weeks. Conclusion Our analysis showed no statistically significant difference in overall complications between surgical and non-operative therapy. However, independent study demonstrated that surgical therapy had the benefit of delayed union, backed by time-to-fracture union analyses.