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Paper Information

Journal:   JOURNAL OF ISFAHAN MEDICAL SCHOOL (I.U.M.S)   SPRING 2007 , Volume 25 , Number 8 (SUPPLEMENT); Page(s) 38 To 42.
 
Paper: 

PERCUTANEOUS FIXATION OF SCAPHOID FRACTURES

 
 
Author(s):  DEHGHANI MOHAMMAD*, ETEMADIFAR M.R.
 
* DEPARTMENT OF ORTHOPEDICS, SCHOOL OF MEDICINE, ISFAHAN UNIVERSITY OF MEDICAL SCIENCES
 
Abstract: 

Background: There are many different methods for fixation of displaced scaphoid fractures or fractures that displaces after few weeks casting. Because of unique distal circulation of scaphoid, it seems that any method with less injury to its blood circulation would have better results. Based on this theory, we examined the feasibility of antegrade percutaneous fixation in a series of such fractures.
Methods: This study was performed from April 2004-2006 at orthopedic department in Kashani hospital, affiliated to Isfahan University of Medical Sciences. Eleven patients with acute fracture or fibrous union were treated with rigid fixation by a bi-head titanium compression screw inserted via dorsal percutaneous technique.
Findings: Physical examination, plain radiography and computed tomography confirmed the union in an average of ten weeks. According to the Mayo modified wrist score, there were eight excellent and three good results.
Conclusion: The findings in this small series revealed that antegrade scaphoid fracture fixation provides rigid fixation to achieve healing. This finding should be confirmed by larger studies with longer follow-up periods.

 
Keyword(s): SCAPHOID FRACTURE, SCAPHOID FIXATION, BLOOD CIRCULATION
 
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