Functional Outcome of Acute Minimally Displaced Scaphoid Waist Fractures Treated with Percutaneous Headless Compression Screw Fixation: A Prospective Cohort Study
Introduction: Scaphoid fracture incidence has increased recently due to increased participation of people in sports and increased road traffic accidents and easy availability of diagnostic tools like Computed Tomography (CT), which help in easily diagnosing scaphoid fractures, and may be missed...
Main Authors: | , , , , , , , |
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Format: | Article |
Language: | English |
Published: |
JCDR Research and Publications Private Limited
2023-07-01
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Series: | Journal of Clinical and Diagnostic Research |
Subjects: | |
Online Access: | https://www.jcdr.net/articles/PDF/18223/64310_CE[Ra1]_F[SK]_PF1(AG_OM)_PFA(AG_KM)_PN(KM).pdf |
Summary: | Introduction: Scaphoid fracture incidence has increased
recently due to increased participation of people in sports
and increased road traffic accidents and easy availability of
diagnostic tools like Computed Tomography (CT), which help
in easily diagnosing scaphoid fractures, and may be missed on
routine radiographs.
Aim: To evaluate the functional outcome of surgical intervention
with percutaneous headless compression screw fixation for
acute minimally displaced scaphoid fractures.
Materials and Methods: The present study was a prospective
cohort study in which patients with acute fractures of scaphoid
bone managed with percutaneous headless compression screw
fixation were included between January 2020 to December
2022 and were evaluated using the Modified Mayo Wrist Score
(MMWS) and Disabilities of Arm, Shoulder and Hand (DASH)
score. The data obtained was entered into a Microsoft Excel
sheet, and statistical analysis was performed using a Statistical
Package for the Social Sciences (SPSS) version 20.0.
Results: The study included 55 patients with a mean age of
32.9 years, out of which 43 were males and 12 were females.
Road traffic accident injuries were in 19 patients, 17 were
sports injuries and 19 were due to direct trauma. All patients
were managed by percutaneous headless compression screw
fixation. Among these, 27 patients showed excellent outcomes,
24 showed good outcomes, and four showed fair outcomes.
Conclusion: This study shows that percutaneous fixation
of minimally displaced scaphoid fractures results in early
symptomatic relief and functional recovery. It shows that
percutaneous fixation using a headless compression screw has
similar functional outcomes and less hospital stay and patient
scarring than in open fixation methods. Functional recovery
is faster with percutaneous fixation than in non operative and
open fixation. |
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ISSN: | 2249-782X 0973-709X |