NDLI: Percutaneous screw fixation without bone graft for cystic-type scaphoid fractures.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Ikeda, Kazuo Osamura, Naoki Tomita, Katsuro
Description	Country affiliation: Japan Author Affiliation: Ikeda K ( Department of Orthopaedic Surgery, Kanazawa University, Kanazawa, Japan. ikeikemed@yahoo.co.jp)
Abstract	BACKGROUND: The most controversial problem in treating scaphoid fractures is whether bone grafts are necessary for cystic-type fractures. METHODS: We treated 105 scaphoid fractures using Herbert screws (1988-1997), AO 3.0 mm cannulated screws (1998-2002), and Acutrak screws (2003-2006). The patients ranged in age from 14 years to 67 years (average, 26 years). Our classifications were based on the radiographic findings: linear type (51 cases); cystic type (24 cases); and sclerotic or displaced type (30 cases). Linear and cystic types did not have any displacement more than 2 mm. If the fracture line had a sclerotic zone thicker than 1 mm, it was classified as sclerotic or displaced. The length of time before surgery did not affect the classification. Osteosynthesis was performed--without bone graft in all linear cases, with a bone graft in 7 and without a bone graft in 17 cases in cystic type, and with all bone graft in sclerotic or displaced type. RESULTS: Bone union was achieved in all cases in linear type. There were one failure (AO) in 7 cases with bone graft and 3 failures (1 Herbert and 2 AO) in 17 cases without bone graft in cystic type. All 10 cases achieved bone union without bone graft in cystic type using Acutrak screw. There were two failure cases (2 AO) in sclerotic or displaced type. CONCLUSIONS: Screw fixation without bone graft using Acutrak screws was a reliable strategy for the treatment of cystic-type scaphoid fractures.
File Format	HTM / HTML
ISSN	00225282
Issue Number	6
Volume Number	65
e-ISSN	15298809
Journal	The Journal of Trauma: Injury, Infection, and Critical Care
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2008-12-01
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Humans Middle Aged Fractures, Bone Instrumentation Male Fractures, Ununited Journal Article Case Reports Young Adult Surgery Wrist Injuries Classification Fracture Fixation, Internal Osteosclerosis Adult Female Physiology Postoperative Complications Injuries Minimally Invasive Surgical Procedures Bone Screws Treatment Outcome Discipline Traumatology Radiography Fracture Healing Follow-up Studies Bone Transplantation Adolescent Aged Methods Scaphoid Bone
Content Type	Text
Resource Type	Case study Article
Subject	Surgery Critical Care and Intensive Care Medicine

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