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C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position
Published on: September 16, 2022
Percutaneous screw fixation for scaphoid fractures.
C Iacobellis1, S Baldan, R Aldegheri
1Clinica Ortopedica, Università di Padova, Via Giustiniani 2, 35100 Padova, Italy. claudio.iacobellis@unipd.it
Musculoskeletal Surgery
|April 12, 2011
Summary
Percutaneous treatment for scaphoid fractures (types B1 and B2) yielded satisfactory outcomes in most patients. This minimally invasive approach offers faster healing than casting, especially for active younger individuals.
Area of Science:
- Orthopedic Surgery
- Traumatology
Background:
- Scaphoid fractures are common wrist injuries.
- Herbert classification (types B1 and B2) identifies specific fracture patterns.
- Traditional casting has limitations in healing time and patient compliance.
Purpose of the Study:
- To report long-term outcomes of percutaneous treatment for Herbert type B1 and B2 scaphoid fractures.
- To evaluate the efficacy and safety of minimally invasive surgical techniques.
Main Methods:
- Retrospective analysis of 36 patients with scaphoid fractures treated percutaneously.
- Classification of fractures using the Herbert system (types B1 and B2).
- Assessment of outcomes including consolidation, complications, and patient recovery.
Main Results:
- Satisfactory outcomes were achieved in the majority of cases.
- Average bone consolidation observed between 6-8 weeks, faster than traditional casting.
- Minor complications included screw removal in three patients and one case of pseudoarthrosis.
Conclusions:
- Percutaneous treatment is a safe and effective option for Herbert type B1 and B2 scaphoid fractures.
- This method demonstrates faster union times compared to non-operative management.
- The percutaneous approach is particularly beneficial for young, active patients involved in sports or demanding occupations.
