Arthroscopic-assisted percutaneous reduction and screw fixation of displaced scaphoid fractures.
J Hand Surg Eur Vol
; 33(3): 350-4, 2008 Jun.
Article
in En
| MEDLINE
| ID: mdl-18562371
ABSTRACT
Many scaphoid fractures can be treated with percutaneous screw insertion, but fracture displacement usually necessitates open reduction. Two surgeons treated 20 consecutive patients with displaced fractures of the scaphoid using arthroscopic-assisted percutaneous screw fixation. Thirteen patients had dorsal (antegrade) and seven had palmar (retrograde) percutaneous screw insertion. At an average follow-up of 18 (range 6-48) months, all of the fractures were healed and there were no implant problems. The early results of arthroscopic-assisted percutaneous screw fixation of displaced fractures of the scaphoid suggest that union can be obtained and good to excellent function achieved predictably without the need for open exposure. Avoidance of an open exposure limits wrist ligament injury and may preserve blood supply. Further evaluation of this procedure is merited.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Arthroscopy
/
Bone Screws
/
Scaphoid Bone
/
Fracture Fixation, Internal
Limits:
Adolescent
/
Adult
/
Female
/
Humans
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Male
/
Middle aged
Language:
En
Journal:
J Hand Surg Eur Vol
Year:
2008
Document type:
Article
Affiliation country: