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Minimally invasive percutaneous fixation of delayed and non-united scaphoid fractures

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

Orthopedic Surgery

Advisors

Khulaif, Ahmad , Khaled, Sherif , Mahmoud, Mussttafa

Authors

El-Zini, Ahmad Mussttafa Hasan

Accessioned

2017-07-12 06:41:24

Available

2017-07-12 06:41:24

type

M.D. Thesis

Abstract

Scaphoid nonunions pose a great challenge to surgeons because of the multiple factors that may contribute to their causation. The etiology of the nonunion may be because of anatomic variations, fracture configuration, vascular problems, underlying metabolic problems, or the inadequacy of initial treatment. Percutaneous management of scaphoid nonunions offers the advantage of inducing minimal trauma to the soft tissues while adequately stabilizing the fracture site to induce union in a high percentage of cases. This study proves that percutaneous fixation of delayed or nonunited scaphoid fractures result in predictable satisfactory union rate and functional outcome, it proves that percutaneous Herbert's screw insertion carries no risk of damage to soft tissues or vascular supply. Also, the gap is not the determinant of time to union but actually it is the time since injury; the longer the time since injury the longer the time to union as long as the scaphoid alignment is maintained i.e. no humpback deformity (Slade and Dodds grade I-V).

Issued

1 Jan 2014

DOI

http://dx.doi.org/10.21473/iknito-space/36619

Details

Type

Thesis

Created At

05 Feb 2023