Abstract
Introduction: Scaphoid fractures are the most common carpal fractures, mainly affects young man.
The fixation of the displaced fractures is well accepted, but more controversy is seen with the fixation of nondisplaced fractures.
Surgery offers less cast time, and faster return to daily and sports activities.
MATERIAL AND Methods: We present 20 patiens (17 man- 3 woman), mean age 31 years old, that sustained a nondisplaced scaphoid fracture.
Surgical treatment was performed with a volar percutaneous fixation with a Herbert canulated screw. Patients were casted for 1–2 weeks and then rehabilitation was started.
Results: 60% of the fractures were produced after low energy trauma.
Functional evaluation 2 months postoperative were flexion 60°, extension 55°, radial deviation 21, ulnar deviation 18°.
Patients returned to sports activities at 11 weeks and at 13 weeks to their previous work.
Time to bone union was 9 weeks
In 5 cases pain in the place of the surgical scar were present, we had one case of sensitive branch lesion.
Conclusions: The percutaneous fixation of the nondisplaced scaphoid fractures with a Herbert screw allowed a fast functional recovery, good union rate and few complications.
Correspondence should be addressed to Ms Larissa Welti, Scientific Secretary, EFORT Central Office, Technoparkstrasse 1, CH-8005 Zürich, Switzerland
