Volar Percutaneous Screw Fixation for Scaphoid Waist Delayed Union

Kim, Jae Kwang; Kim, Jong Oh; Lee, Seung Yup

doi:10.1007/s11999-009-1032-2

Cited by 26 publications

(27 citation statements)

References 29 publications

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“…Lastly, we do not agree with Kim and Lee [22] that percutaneous treatment should be used only in cases of delayed consolidation. We prefer to carry out screw fixation immediately, according to patients' age and working status.…”

Section: Discussioncontrasting

confidence: 56%

Percutaneous screw fixation for scaphoid fractures

2011

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Long-term results of percutaneous treatment for 36 scaphoid fractures, types B1 and B2 according to Herbert, are reported. Outcomes were satisfactory in nearly all cases. In three patients, the screw was too long and had to be removed, and pseudoarthrosis developed in one patient. Consolidation was observed after 6-8 weeks, less than literature reports for immobilization with casts. The percutaneous approach is particularly suitable for younger patients who work or play sports.

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Section: Discussioncontrasting

confidence: 56%

Percutaneous screw fixation for scaphoid fractures

2011

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“…All 15 fractures healed with the average time to union of 14 weeks with no complications. Kim et al [3] treated 12 patients with scaphoid waist delayed union using the volar percutaneous approach. All fractures united successfully with no additional procedures in an average 11 weeks.…”

Section: Discussionmentioning

confidence: 99%

“…Percutaneous screw fixation has been advocated for minimally displaced acute scaphoid fractures and was recently reported for displaced scaphoid fractures [1,5]. A few reports have described the percutaneous approach for treating scaphoid delayed unions and non-unions [3,10]. This technique avoids devascularization of the scaphoid, division of the carpal ligaments, and providing a much more aesthetic scar [10].…”

Section: Introductionmentioning

confidence: 99%

Percutaneous Screw Fixation of Scaphoid Waist Fracture Non-Union Without Bone Grafting

Hegazy¹

2016

J Hand Microsurg

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The aim of the study was to evaluate results of volar percutaneous headless compression screw fixation without bone grafting in 21 patients with scaphoid waist nonunion fractures. The inclusion criteria in this series were scaphoid waist fracture nonunion with intact cartilaginous envelope, minimal fracture line at nonunion interface, no cyst or sclerosis, no avascular necrosis and normal scapholunate angle without humpback deformity. There were 17 male and 4 female patients with an average age of 23 years (range 16-45 years). All patients had radiographic examinations that included Posteroanterior, lateral, oblique and scaphoid views. Preoperative MRI to assess the cartilaginous shill and vascularity of scaphoid was done. CT scans were performed postoperatively to confirm scaphoid fracture healing. The average clinical follow-up was at 25 months (range 18-35) postoperatively. All fractures united successfully with no additional procedures. The average DASH score (disabilities of the arm, shoulder, and hand) at final follow-up was 8 (range 0-16). Percutaneous fixation for selected scaphoid nonunion can avoid the morbidity of an open approach and bone grafting.

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“…These eventually healed without bone grafting. Other authors have suggested that selected nonunions may heal with rigid fixation alone, [15][16][17][18] and Kim, Kim and Lee 19 recorded union with slight resorption at the fracture site in 12 patients with delayed union of the waist of the scaphoid treated by percutaneous screw fixation.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous screw fixation without bone grafting for established scaphoid nonunion with substantial bone loss

Mahmoud

Koptan

2011

The Journal of Bone and Joint Surgery. British volume

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Ununited fractures of the scaphoid with extensive bone resorption are usually treated by bone grafting and internal fixation, using either an open or a minimally invasive technique. We studied the feasibility of percutaneous fixation without bone grafting in a consecutive series of 27 patients with established nonunion of an undisplaced fracture of the scaphoid and extensive local resorption of bone. They were treated by a single surgeon with rigid fixation alone, using a headless cannulated screw inserted through a volar percutaneous technique. Clinical examination, standard radiographs and CT confirmed that the fracture had united in all patients at a mean of 11.6 weeks (8 to 16), and that their functional scores had improved. We concluded that extensive resorption at the fracture site is not an absolute indication for bone grafting, and that percutaneous fixation alone will eventually produce healing of ununited undisplaced fractures of the scaphoid regardless of the size of the gap.

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Volar Percutaneous Screw Fixation for Scaphoid Waist Delayed Union

Cited by 26 publications

References 29 publications

Percutaneous screw fixation for scaphoid fractures

Percutaneous screw fixation for scaphoid fractures

Percutaneous Screw Fixation of Scaphoid Waist Fracture Non-Union Without Bone Grafting

Percutaneous screw fixation without bone grafting for established scaphoid nonunion with substantial bone loss

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