Online ISSN: 2515-8260

“SCAPHOID A WICKED CROOK-WHETHER TO OPERATE/NOT” FUNCTIONAL OUTCOME OF PERCUTANEOUS FIXATION OF SCAPHOID FRACTURES WITH HERBERT SCREWS

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Samir Dwidmuthe, Amey S Sadar, Suhas Aradhya, Bhikshavarthimath, M Harsha Vardhan Reddy, Mainak Roy, Deepanjan Das

Abstract

Background: Scaphoid waist fractures make up 66% of scaphoid fractures and are mostly nondisplaced. Treatment of nondisplaced scaphoid waist fractures has evolved from conventional cast immobilization to percutaneous screw insertion. Methodology and results: In this study, we assess the clinical and radiologic outcomes of volar percutaneous screw fixation for 20 type B2 scaphoid fractures (according to the Herbert and Fisher classification). All patients were followed for an average of 11 months (range, 6-18 months). All fractures achieved radiographic union at an average of 8.5 weeks (range, 7-12 weeks), requiring no additional procedures. No patients exhibited X-ray indications of osteoarthritis, osteonecrosis of the scaphoid, or complications related to the hardware. In cases of scaphoid waist fractures without collapse, percutaneous screw fixation yielded favourable outcomes, including a high union rate, prompt restoration of function, and minimal complications. Conclusion: Percutaneous fixation of acute, nondisplaced scaphoid fractures is a safe, effective technique that minimizes the need for long-term wrist immobilization, allows an expeditious return to vocational activity, and results in reliable rates of union.

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