Percutaneous screw fixation for fractures of the scaphoid

Ge, Wozasek; Moser, Karl

doi:10.1302/0301-620x.73b1.1670499

Cited by 132 publications

(75 citation statements)

References 13 publications

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“…The palmar approach has achieved much popularity since its evolution because of the excellent clinical outcome documented by various authors [18,19]. However, recent work by some authors [10,17] has shown that the dorsal approach provides better targeting and more precise placement of the screw.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous fixation of selected scaphoid fractures by dorsal approach

Naranje

Kotwal

Shamshery

et al. 2009

International Orthopaedics (SICOT)

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The aim of our study was to evaluate clinical, radiological and functional outcomes of selected cases of percutaneous fixation of scaphoid fractures via a dorsal approach. Percutaneous fixation by dorsal approach was done in 32 patients (mean age 32.2 years) involving both fresh and late scaphoid fracture presentations (mean 17 days). Fourteen cases of B1 type, ten cases of B2 and eight cases of C type (Herbert's classification) were treated. The patients were prospectively followed up clinically and radiologically for a minimum follow-up of 14 months (mean 16 months), and functional outcome and complications were assessed. All fractures united over an average of nine weeks. There was no avascular necrosis or screw cutout with preservation of wrist movement and grip strength. There were no injuries to any at risk anatomical structures. Percutaneous fixation of scaphoid fractures through dorsal approach gives good clinical and functional outcome in acute and chronic scaphoid fractures of B1, B2 and C types (Herbert's classification).

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Section: Discussionmentioning

confidence: 99%

Percutaneous fixation of selected scaphoid fractures by dorsal approach

Naranje

Kotwal

Shamshery

et al. 2009

International Orthopaedics (SICOT)

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“…There are several minimally invasive internal fixation techniques for scaphoid fractures (Brauer et al, 1997;Haddad and Goddard, 1998;Inoue and Shionoya, 1997;Ledoux et al, 1995;Wozasek and Moser, 1991). Minimally invasive screw fixation in athletes has been reported to reduce the time to union and to allow a rapid return to sports activities (Rettig and Kolias, 1996;Taras et al, 1999).…”

Section: Introductionmentioning

confidence: 99%

Minimally Invasive Fixation versus Conservative Treatment of Undisplaced Scaphoid Fractures: A Cost-Effectiveness Study

Papaloïzos

Fusetti

Christen

et al. 2004

Journal of Hand Surgery

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This study compares the direct and indirect costs of conservative and minimally invasive treatment for undisplaced scaphoid fractures. Costs data concerning groups of non-operated and operated patients were analysed. Direct costs were higher in operated patients. Although highly variable, indirect costs were significantly smaller in operated patients and the total costs were higher in non-operated patients. In conclusion, operative treatment of scaphoid fractures is initially more expensive than conservative treatment but markedly decreases the work compensation costs.

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“…9 Inoue and Shionoya 12 have shown a shorter time to union and an earlier return to manual labour when acute fixation is compared with conservative treatment. Early intervention is also supported by Filan and Herbert's operative findings; 2 in 82 acute fractures they noted that they were often in a worse position than suggested by radiographs and that there was soft-tissue interposition in 28.…”

Section: Discussionmentioning

confidence: 97%

Acute percutaneous scaphoid fixation

Haddad

Goddard

1998

The Journal of Bone and Joint Surgery. British volume

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Fractures of the scaphoid are most common in young men; immobilisation in a cast 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 dangers of damage to the radiocarpal ligaments, the scaphotrapezial joint, and the blood supply of the scaphoid. For minimally displaced or undisplaced B1 or B2 fractures, these problems can be overcome by percutaneous fixation.We report our technique and the results of a pilot study in 15 patients. There was no immobilisation; patients were allowed movement soon after operation, but union was obtained in all at a mean of 57 days (38 to 71). The range of movement after union was equal to that of the contralateral limb and grip strength was 98% of the contralateral side at three months. Patients were able to return to sedentary work within four days and to manual work within five weeks.Our initial results show that percutaneous scaphoid fixation for acute fractures is satisfactory and gives rapid functional recovery. J Bone Joint Surg [Br] 1998;80-B:95-9.

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Percutaneous screw fixation for fractures of the scaphoid

Cited by 132 publications

References 13 publications

Percutaneous fixation of selected scaphoid fractures by dorsal approach

Percutaneous fixation of selected scaphoid fractures by dorsal approach

Minimally Invasive Fixation versus Conservative Treatment of Undisplaced Scaphoid Fractures: A Cost-Effectiveness Study

Acute percutaneous scaphoid fixation

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