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Related Experiment Videos

Acute percutaneous scaphoid fixation using a cannulated screw.

F S Haddad1, N J Goddard

  • 1Department of Orthopaedics, Royal Free Hospital, London, United Kingdom.

Chirurgie De La Main
|June 16, 2000
PubMed
Summary

Percutaneous fixation of acute scaphoid fractures offers rapid functional recovery without casting. This minimally invasive technique allows immediate mobilization, achieving excellent union rates and quick return to work and sports.

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Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Sports Medicine

Background:

  • Scaphoid fractures are common in young males, often leading to prolonged absence from work and sports due to cast immobilization.
  • Traditional open reduction and internal fixation can be technically demanding and may compromise the scaphoid's blood supply and surrounding joint structures.
  • Minimally displaced or undisplaced fractures present an opportunity for less invasive treatment approaches.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of percutaneous fixation for acute scaphoid fractures.
  • To assess the potential for rapid functional recovery and early return to activities with this minimally invasive technique.

Main Methods:

  • A prospective study of 50 patients with acute, minimally displaced or undisplaced scaphoid fractures treated with percutaneous fixation.

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  • Patients underwent immediate postoperative mobilization without cast immobilization.
  • Outcomes including fracture union, range of motion, grip strength, and return to work/sports were recorded.

    • Main Results:

    • All 50 cases achieved fracture union within an average of 55 days.
    • Post-union range of motion was comparable to the contralateral limb by three months.
    • Grip strength reached 98% of the contralateral side by three months.
    • Patients returned to sedentary work within 4 days and manual work/sports within 5 weeks.

    Conclusions:

    • Percutaneous scaphoid fixation is a rapid and effective intervention for acute scaphoid fractures.
    • This technique facilitates early mobilization and leads to prompt functional recovery, minimizing downtime.
    • It offers a satisfactory alternative to casting or traditional open surgery for select scaphoid fractures.