FUNCTIONAL AND CLINICAL OUTCOMES OF PERCUTANEOUS HERBERT SCREWS FIXATION IN SCAPHOID FRACTURES

Baqir Hussain; Shah Fahad Qayyum; Asad Ullah Jan; Muhammad Salman; Anwar Imran; Syed Imran Bukhari

doi:10.46903/gjms/23.2.1789

FUNCTIONAL AND CLINICAL OUTCOMES OF PERCUTANEOUS HERBERT SCREWS FIXATION IN SCAPHOID FRACTURES

Baqir Hussain, Shah Fahad Qayyum, Asad Ullah Jan, Muhammad Salman, Anwar Imran, Syed Imran Bukhari

Abstract

Background: Among the wrist bones, scaphoid bone is the most commonly fractured carpal bone, which accounts for 50-80% of carpal fractures and 11% of all hand fractures. To achieve early diagnosis, performing a comprehensive clinical examination of wrist and utilizing imaging is important. The management of scaphoid fractures ranging from casting and immobilization to surgical techniques with close or open reduction and internal fixation. Objective of our study was to evaluate the functional and clinical outcome by utilizing percutaneous Herbert screws in the management of acute scaphoid bone fractures.

Materials & Methods: A retrospective study was conducted from 1st January 2022 to 31st December 2023, including 26 patients with acute scaphoid fractures of Herbert classification including B1, B2 and B3. Fixation was done using both volar and dorsal percutaneous techniques. Patients were assessed and evaluated clinically postoperatively by using modified Mayo wrist score (MMWS).

Results: The mean age 27.12 ± 9.53 years, 88.5% of patients were right hand dominant, the majority were with excellent outcome category 21 patients (80.77%) and good in 3 patients (11.54%), fair 1(3.84%), and poor 1(3.84%). The mean time for union was 8.90 ± 1.7 week. Grip strength was 80 % at 3 months and 95% at 6 months.

Conclusion: For all young and active individuals with acute, non-displaced, or minimally displaced scaphoid fractures, percutaneous internal fixation should be considered as a treatment option. This treatment option provides earlier gain of wrist motion, quicker union, faster return to daily activities, and a low rate of complications.

Keywords

Herbert screw; Mayo score; Percutaneous fixation; Scaphoid Fractures.

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References

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DOI: https://doi.org/10.46903/gjms/23.2.1789