Percutaneous Treatment of Unstable Scaphoid Waist Fractures

Treatment of scaphoid waist fractures with the HCS screw

The aim of the study was to evaluate the clinical results of the Headless Compression Screw (HCS, Synthes) when used for treatment of acute scaphoid waist fractures. The new screw design generates interfragmentary compression with use of a compression sleeve. Twenty-one patients were treated for acute scaphoid waist fractures type B2 with HCS screws. The average time to the final follow-up exam...

Percutaneous screw fixation versus conservative treatment for fractures of the waist of the scaphoid: a prospective randomised study.

We randomly allocated 60 consecutive patients with fractures of the waist of the scaphoid to percutaneous fixation with a cannulated Acutrak screw or immobilisation in a cast. The range of movement, the grip and pinch strength, the modified Green/O'Brien functional score, return to work and sports, and radiological evidence of union were evaluated at each follow-up visit. Patients were followed...

Percutaneous Screw Fixation for Scaphoid Fractures.

Treatment of nondisplaced scaphoid waist fractures has evolved from conventional cast immobilization to percutaneous screw insertion. This study assessed clinical and radiologic outcomes of volar percutaneous screw fixation for 15 type B2 scaphoid fractures (according to the Herbert and Fisher classification). All patients were followed for an average of 33 months (range, 6-50 months). All frac...

Conservative treatment of scaphoid fractures

The value of conservative treatment versus surgery of non-displaced waist scaphoid fractures

Introduction Scaphoid fractures are the most common type of hand fracture. Traditionally, non-displaced fractures of the scaphoid have been treated conservatively, with the immobilisation of the hand with a cast; hence, surgical fixation of the fracture has become increasingly popular because of quicker re-mobilisation and return to its original function. However, this was balanced against the ...