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OSTEOSYNTHESIS OF A SCAPHOID NECK FRACTURE WITH A CANNULATED COMPRESSION SCREW: EVALUATION OF 52 PATIENTS
Lucas Bernardo Carvalho DE Almeida1, Victor Martins Manfredi2, Igor Arthur Parron Costa3
1Rede D'Or, Hospital IFOR, São Bernardo do Campo, SP, Brazil.
Acta Ortopedica Brasileira
|October 25, 2023
Summary
Dorsal fixation using a cannulated compression screw (CCS) effectively treats transverse scaphoid neck fractures. This safe and promising technique demonstrates high rates of bone consolidation and excellent outcomes in most patients.
Area of Science:
- Orthopedic surgery
- Hand surgery
- Traumatology
Background:
- Transverse scaphoid neck fractures are common wrist injuries.
- Optimal fixation techniques are crucial for successful bone healing and functional recovery.
Purpose of the Study:
- To assess the efficacy of dorsal fixation with a cannulated compression screw (CCS) for transverse scaphoid neck fractures.
Main Methods:
- A case series included patients treated with CCS for scaphoid neck fractures from April 2014 to May 2021.
- Radiographic wrist evaluations (AP, lateral, deviation, oblique views) post-surgery verified fracture healing.
Main Results:
- Fifty-two patients (15-65 years, 83% male) were analyzed.
- Excellent outcomes (90.38%) and good outcomes (7.69%) were observed.
- 99% bone consolidation was achieved by six months, with one failure.
Conclusions:
- Cannulated compression screw osteosynthesis is a safe and effective treatment for scaphoid neck fractures.
- This method shows promising results for achieving bone union and functional recovery.
