Comparison of Two Different Percutaneous Screw Fixations for Treating Herbert B2‐Type Acute Scaphoid Fractures
Objective Scaphoid fracture was the most common carpal fracture and the most challenging. The purpose of this study was to investigate and compare the clinical effects of closed reduction and percutaneous cannulated screw internal fixation under fluoroscopy and arthroscopy‐assisted percutaneous cann...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-12-01
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| Series: | Orthopaedic Surgery |
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| Online Access: | https://doi.org/10.1111/os.13517 |
| _version_ | 1811178297141231616 |
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| author | Haoliang Hu Xiaofeng Teng Xueyuan Li Miaozhong Li Shimin Chang |
| author_facet | Haoliang Hu Xiaofeng Teng Xueyuan Li Miaozhong Li Shimin Chang |
| author_sort | Haoliang Hu |
| collection | DOAJ |
| description | Objective Scaphoid fracture was the most common carpal fracture and the most challenging. The purpose of this study was to investigate and compare the clinical effects of closed reduction and percutaneous cannulated screw internal fixation under fluoroscopy and arthroscopy‐assisted percutaneous cannulated screw internal fixation in the treatment of Herbert B2‐type of acute scaphoid fractures. Methods A retrospective controlled study was conducted on 29 patients with Herbert B2‐type acute scaphoid fracture with a displacement of >1 mm admitted to our hospital from January 2017 to June 2021. Patients were divided into two groups, 11 patients were treated with closed reduction percutaneous cannulated screw internal fixation under fluoroscopy and 18 patients were treated with percutaneous cannulated screw internal fixation assisted by arthroscopy. The operative time, intraoperative fluoroscopy times, fracture healing time, complications, and postoperative wrist function score of the two groups were compared. Results All patients were followed up for 6–18 months (mean follow‐up duration: 10.38 ± 2.69 months). The respective operation times in the arthroscopy group and fluoroscopy group was 51.50 ± 6.69 min and 56.73 ± 11.48 min, respectively (p > 0.05). The number of fluoroscopies performed in the arthroscopy group was (6.83 ± 1.30), which was less than that in the fluoroscopy group (10.91 ± 2.62) (p < 0.05). All fractures in the arthroscopy group healed after the operation, and the fracture healing time was 11.44 ± 1.25W. Ten patients in the fluoroscopy group healed. The fracture healing time was 13.60 ± 2.32 W. The fracture healing time in arthroscopy group was less than that in the fluoroscopy group (p < 0.05). One patient in the fluoroscopy group had nonunion and healed after bone grafting and internal fixation. At the postoperative 6‐month follow‐up, the modified Mayo wrist function score was used to evaluate the clinical results. The wrist function score of patients in the arthroscopy group was 90 (85, 95), which was >80 (80, 90) in the fluoroscopy group (z = 2.74, p < 0.05). Conclusion For Herbert B2‐type acute scaphoid fracture with fracture displacement > 1 mm, the arthroscopy‐assisted percutaneous cannulated screw internal fixation has less fluoroscopy times, short fracture healing time, and good recovery effect of wrist function compared to the fluoroscopy. |
| first_indexed | 2024-04-11T06:16:18Z |
| format | Article |
| id | doaj.art-4ebbf3db299347e498d4da9bc64ae1be |
| institution | Directory Open Access Journal |
| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-04-11T06:16:18Z |
| publishDate | 2022-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj.art-4ebbf3db299347e498d4da9bc64ae1be2022-12-22T04:41:02ZengWileyOrthopaedic Surgery1757-78531757-78612022-12-0114123187319410.1111/os.13517Comparison of Two Different Percutaneous Screw Fixations for Treating Herbert B2‐Type Acute Scaphoid FracturesHaoliang Hu0Xiaofeng Teng1Xueyuan Li2Miaozhong Li3Shimin Chang4Department of Orthopaedic Surgery Yangpu Hospital, School of Medicine, Tongji University Shanghai ChinaDepartment of Hand Surgery Ningbo No. 6 Hospital Ningbo ChinaDepartment of Hand Surgery Ningbo No. 6 Hospital Ningbo ChinaDepartment of Hand Surgery Ningbo No. 6 Hospital Ningbo ChinaDepartment of Orthopaedic Surgery Yangpu Hospital, School of Medicine, Tongji University Shanghai ChinaObjective Scaphoid fracture was the most common carpal fracture and the most challenging. The purpose of this study was to investigate and compare the clinical effects of closed reduction and percutaneous cannulated screw internal fixation under fluoroscopy and arthroscopy‐assisted percutaneous cannulated screw internal fixation in the treatment of Herbert B2‐type of acute scaphoid fractures. Methods A retrospective controlled study was conducted on 29 patients with Herbert B2‐type acute scaphoid fracture with a displacement of >1 mm admitted to our hospital from January 2017 to June 2021. Patients were divided into two groups, 11 patients were treated with closed reduction percutaneous cannulated screw internal fixation under fluoroscopy and 18 patients were treated with percutaneous cannulated screw internal fixation assisted by arthroscopy. The operative time, intraoperative fluoroscopy times, fracture healing time, complications, and postoperative wrist function score of the two groups were compared. Results All patients were followed up for 6–18 months (mean follow‐up duration: 10.38 ± 2.69 months). The respective operation times in the arthroscopy group and fluoroscopy group was 51.50 ± 6.69 min and 56.73 ± 11.48 min, respectively (p > 0.05). The number of fluoroscopies performed in the arthroscopy group was (6.83 ± 1.30), which was less than that in the fluoroscopy group (10.91 ± 2.62) (p < 0.05). All fractures in the arthroscopy group healed after the operation, and the fracture healing time was 11.44 ± 1.25W. Ten patients in the fluoroscopy group healed. The fracture healing time was 13.60 ± 2.32 W. The fracture healing time in arthroscopy group was less than that in the fluoroscopy group (p < 0.05). One patient in the fluoroscopy group had nonunion and healed after bone grafting and internal fixation. At the postoperative 6‐month follow‐up, the modified Mayo wrist function score was used to evaluate the clinical results. The wrist function score of patients in the arthroscopy group was 90 (85, 95), which was >80 (80, 90) in the fluoroscopy group (z = 2.74, p < 0.05). Conclusion For Herbert B2‐type acute scaphoid fracture with fracture displacement > 1 mm, the arthroscopy‐assisted percutaneous cannulated screw internal fixation has less fluoroscopy times, short fracture healing time, and good recovery effect of wrist function compared to the fluoroscopy.https://doi.org/10.1111/os.13517bonecarpal arthroscopypercutaneous screw internal fixationscaphoid fracturescaphoid nonunion |
| spellingShingle | Haoliang Hu Xiaofeng Teng Xueyuan Li Miaozhong Li Shimin Chang Comparison of Two Different Percutaneous Screw Fixations for Treating Herbert B2‐Type Acute Scaphoid Fractures Orthopaedic Surgery bone carpal arthroscopy percutaneous screw internal fixation scaphoid fracture scaphoid nonunion |
| title | Comparison of Two Different Percutaneous Screw Fixations for Treating Herbert B2‐Type Acute Scaphoid Fractures |
| title_full | Comparison of Two Different Percutaneous Screw Fixations for Treating Herbert B2‐Type Acute Scaphoid Fractures |
| title_fullStr | Comparison of Two Different Percutaneous Screw Fixations for Treating Herbert B2‐Type Acute Scaphoid Fractures |
| title_full_unstemmed | Comparison of Two Different Percutaneous Screw Fixations for Treating Herbert B2‐Type Acute Scaphoid Fractures |
| title_short | Comparison of Two Different Percutaneous Screw Fixations for Treating Herbert B2‐Type Acute Scaphoid Fractures |
| title_sort | comparison of two different percutaneous screw fixations for treating herbert b2 type acute scaphoid fractures |
| topic | bone carpal arthroscopy percutaneous screw internal fixation scaphoid fracture scaphoid nonunion |
| url | https://doi.org/10.1111/os.13517 |
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