Comparison of the results of percutaneous and open screw fixation in the treatment of scaphoid nonunion fractures

Küçük Resim Yok

Tarih

2022

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Verduci Publisher

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

OBJECTIVE: Our study aims to compare the clinical results of percutaneous screw fixation and non-vascularized bone graft-ing with open screw fixation in patients who did not achieve union due to failure in diagnosis and treatment after a scaphoid fracture. PATIENTS AND METHODS: Forty-three pa-tients with scaphoid nonunion fractures cor-responding to the first three Slade and Dodds classification were divided into two groups. Non-vascularized bone grafting with open re-duction and internal fixation (ORIF) was applied to 24 patients in the first group, and 19 patients in the second group were treated with a closed reduction and internal fixation (CRIF) (percu-taneous screw fixation). The patients were fol-lowed up for preoperative and postoperative functional scores and time to union.RESULTS: Our study found that the scaphoid was most commonly fractured in the waist of the scaphoid. In our study, we found that distal scaphoid fractures had the highest union rate (100%), followed by the waist fractures (93.2%) and the weakest union (50%) in the proximal pole fractures. We observed that the fastest union had occurred in the fractures of the waist. We also ob-served that the union was completed earlier in patients who operated with ORIF than those with CRIF. We found union in 87.5% of patients who underwent ORIF, in 84.2% of patients who under-went CRIF. CRIF operation duration was short-er than expected from ORIF operation duration.CONCLUSIONS: We found that similar union rates could be achieved in the patient groups who underwent percutaneous and open screw fixation by selecting the appropriate patient in scaphoid nonunion fractures. Union was faster and functional results were more satisfactory in the ORIF group. The operation time was shorter in the CRIF group.

Açıklama

Anahtar Kelimeler

Scaphoid, Nonunion, Orif (Open Reduction And Internal Fixation), Crif (Closed Reduction And Internal Fixation)

Kaynak

European Review For Medical And Pharmacological Sciences

WoS Q Değeri

Q2

Scopus Q Değeri

Q2

Cilt

26

Sayı

24

Künye