VOLAR PERCUTANEOUS FIXATION BY HERBERT SCREW VERSUS CONSERVATIVE TREATMENT FOR STABLE WAIST SCAPHOID FRACTURE

Document Type : Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations

Authors

Orthopaedics and trauma surgery dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

Abstract

Background: scaphoid waist fractures can be fixed percutaneously as opposed to being cast-immobilized
Evaluation of the results of patients with stable waist scaphoid fractures following percutaneous fixation
with a Herbert screw or cast immobilisation.
Methods: A total of 30 patients, age from 19 to 60, were
included in this prospective study at the orthopaedic department's hand and microsurgery unit at Sohag
University Hospital. The extent of mobility, the strength of the grasp, the ability to return to work, and the
radiological assessment were checked.
Results: Follow up were 12 months. Patients who received volar
percutaneous fixation experienced an earlier union than those who had conservative treatment with a
cast.
Conclusion: An earlier time to union, a rapid return to daily activities, and an earlier wrist motion
recovery were all made possible by percutaneous treatment of acute stable waist scaphoid fractures.
Compared to the operative group, the conservative group has a greater nonunion rate


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