Percutaneous Screw Fixation or Cast Immobilization for Nondisplaced Scaphoid Fractures

Bond, Charles D.; Shin, Alexander Y.; McBride, Mark T.; Dao, Khiem D.

doi:10.2106/00004623-200104000-00001

Cited by 361 publications

(347 citation statements)

References 8 publications

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“…Injury to the superficial branch of the radial artery, delayed union, complex regional pain syndrome, and infection using the palmar approach have been reported in literature [11,25]. However, there has been controversy about the complication rate in the dorsal approach, with some authors [26] reporting it to be higher than others [27].…”

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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“…Recent reports have advocated surgical treatment for nondisplaced and minimally displaced scaphoid fractures [13][14][15] . Two previous meta-analyses on the treatment of acute scaphoid fractures indicated that current evidence failed to prove the superiority of operative as compared with conservative treatment 16,17 .…”

mentioning

confidence: 99%

Surgical Compared with Conservative Treatment for Acute Nondisplaced or Minimally Displaced Scaphoid Fractures

Buijze

Doornberg

Ham

et al. 2010

The Journal of Bone and Joint Surgery-American Volume

118

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“…Scaphoid fractures fail to unite in 5% to 25% of cases [1]. Factors contributing to nonunion include displacement greater than 1 mm, delay in diagnosis/immobilization greater than 4 weeks, location at the waist or proximal pole, and a history of smoking [2].…”

Section: Treatmentmentioning

confidence: 99%