Modified Volar Percutaneous Screw Fixation for the Scaphoid Fractures: Trans-trapezial Approach
Journal of the Korean Society for Surgery of the Hand
;
: 175-183, 2010.
Artigo
em Coreano
| WPRIM
| ID: wpr-52344
ABSTRACT
PURPOSE:
The purpose of this study is to evaluate the clinical results of modified volar percutaneous fixation, in which a screw is introduced through the trapezium (trans-trapezial approach) for the treatment of undisplaced scaphoid fractures and nonunions. MATERIALS ANDMETHODS:
We performed modified volar percutaneous screw fixation in 15 patients between December 2008 and October 2009. There were ten men and five women. The mean age was 45 years (range, 20-59 years). Seven patients had a isolated scaphoid fracture, four had a concomitant distal radius fracture, two had multiple fractures besides scaphoid fracture, one had a trans-scaphoid perilunar fracture-dislocation and one had a cystic nonunion of the scaphoid. The mean follow-up time was 13 months. A standard Acutrak headless screw (Acumed(R)) was used in all cases.RESULTS:
At the final follow-up, the average arc of wrist motion was 60degrees of flexion and 65degrees of extension. The average grip power of the affected hand reached 90% compared with the unaffected side. The clinical results assessed by the modified Mayo wrist score showed twelve excellent and three good results. Plain radiographs showed accurate central placement of the screw without degenerative change in the scaphotrapezial joint in all patients. The mean time to union was 7.8 weeks.CONCLUSION:
We believe that the modified volar percutaneous screw fixation is reliable method. However, long term follow-up is required to determine whether this approach would increase the risk of scaphotrapezial joint osteoarthritis.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Osteoartrite
/
Fraturas do Rádio
/
Punho
/
Seguimentos
/
Força da Mão
/
Mãos
/
Articulações
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Journal of the Korean Society for Surgery of the Hand
Ano de publicação:
2010
Tipo de documento:
Artigo
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