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114446

Results of Percutaneous Fixation of Acute Scaphoid Fractures by Herbert Screw

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Last updated: 24 Dec 2024

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Abstract

Background: The Scaphoid bone is the tmost commonly fractured carpal bone. Proper clinical examination and radiological imaging is essential for early diagnosis and management. The management of scaphoid fractures varies from cast immobilization to open reduction and internal fixation. This paper explores the outcome of using headless cannulated screws in minimally displaced scaphoid fractures. Objective: Aim of this study is to assess the functional and clinical outcome of using cannulated headless screws in management of acute scaphoid fractures. Methods: A prospective study held between February 2019 and January 2020, where eighteen patients included with acute scaphoid fractures of Herbert B1, B2 and B3 classification. Fixation was done using both volar and dorsal percutaneous technique. Patients were evaluated postoperatively clinically using modified Mayo wrist score (MMWS). Results: Of mean age 34.5±8.37 years, the majority were with excellent final outcome (83.3%), good (5.6%), fair one case (5.6%) and only one poor (5.6%) and mean time of union was 9.66±1.9 months. Conclusion: All active young individuals with acute non-displaced or minimally displaced scaphoid fractures should be offered percutaneous internal fixation, for the sake of earlier gain of motion of the wrist, earlier time to union, quicker return to activity of daily living, and a lower complication rate.

DOI

10.21608/ejhm.2020.114446

Keywords

Scaphoid, Acute fractures, Percutaneous fixation

Authors

First Name

Mohamed Ahmed Saleh

Last Name

Gad

MiddleName

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Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt

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First Name

El-Sayed Abd Elmoaty

Last Name

AL-sherbiny

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Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt

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Orcid

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First Name

Hossam Fathi

Last Name

Mahmoud

MiddleName

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Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt

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Orcid

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First Name

Mohamed Ismail Abd El-Rahman

Last Name

Kotb

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-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt

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Volume

81

Article Issue

2

Related Issue

17338

Issue Date

2020-10-01

Receive Date

2020-09-22

Publish Date

2020-10-01

Page Start

1,419

Page End

1,425

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_114446.html

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https://ejhm.journals.ekb.eg/service?article_code=114446

Order

13

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Results of Percutaneous Fixation of Acute Scaphoid Fractures by Herbert Screw

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Article

Created At

22 Jan 2023