FIXATION OF FRACTURE SCAPHOID LIMITED ACCESS WITH HEADLESS COMPRESSION SCREW-PROSPECTIVE ASSESSMENT OF OUTCOME BY MMWS
European Journal of Molecular & Clinical Medicine,
2023, Volume 10, Issue 2, Pages 1693-1700
AbstractScaphoid fractures are among the most common injuries which are usually resulting from RTA, Accidental fall, Sports injury. The greatest problems for the
orthopaedic surgeon to treating the unstable scaphoid fracture and the complications (persistent pain at wrist, non-union, hypertrophic scar) occur from Herbert screw
fixation that results in wrist strength.
Material And Methods: 25patients were included in our study from OCTOBER 2021 to APRIL 2022, with subsequent period of follow up of 6 months (OCTOBER 2022). 25 patients with scaphoid fracture treated by operative fixation by Herbert screw.
Results: Regarding functional results, 24 cases (96%) had no difficulty doing day to day activity, in last follow up according to Modified Mayo Wrist Score. Regarding post-operative complications, Scar tenderness (2 cases, 8%) was seen and treated with local infiltration of corticosteroids. One patient had developed cast failure and one patient had developed persistent pain.
Conclusion: We have concluded that fractures of scaphoid when fixed with headless compression screw shows excellent functional outcome.
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