Akut Tip B skafoid kırıklarında dorsal ve volar perkütan vida tespit yöntemlerinin karşılaştırılması
| Autor: | Emin Bal, Tulgar Toros, Tahir Sadık Sügün, Levent Küçük, Murat Kayalar, Yusuf Gürbüz |
|---|---|
| Přispěvatelé: | Ege Üniversitesi |
| Rok vydání: | 2012 |
| Předmět: |
Male
Radiography medicine.medical_treatment Bone Screws Scaphoid fracture Wrist Cohort Studies Fracture Fixation Internal Fractures Bone Injury Severity Score Fracture fixation Medicine Orthopedics and Sports Medicine Range of Motion Articular Sağlık Bilimleri ve Hizmetleri percutaneous screw fixation Fracture Healing General Medicine Middle Aged Wrist Injuries Treatment Outcome medicine.anatomical_structure Dorsal fixation Female medicine.symptom Range of motion Splint (medicine) Adult musculoskeletal diseases medicine.medical_specialty Asymptomatic Patient Positioning Young Adult Health Care Sciences and Services scaphoid fracture volar fixation Humans Minimally Invasive Surgical Procedures Retrospective Studies Scaphoid Bone Dorsal tespit perkütan vida tespiti skafoid kırığı volar tespit business.industry Dorsal fixation percutaneous screw fixation scaphoid fracture volar fixation medicine.disease Surgery body regions business Follow-Up Studies |
| Zdroj: | Volume: 46, Issue: 5 339-345 Acta Orthopaedica et Traumatologica Turcica |
| ISSN: | 1017-995X |
| Popis: | WOS: 000319231800004 PubMed ID: 23268818 Objective: In this study, we aimed to compare the clinical and functional results of patients treated with dorsal or volar percutaneous screw fixation for acute scaphoid fractures. Methods: We retrospectively evaluated 27 wrists of 26 patients (24 males, 2 females; mean age: 33.1 years) who underwent dorsal or volar percutaneous screw fixation for acute scaphoid fractures between 2000 and 2009. The dorsal approach group contained 13 wrists and the volar approach group 14 wrists. Splint was removed and wrist exercises initiated on the 10th postoperative day. Pinch power, grip power and range of motion were evaluated using the contralateral wrist as controls. Functional evaluation was performed using the patient-rated wrist evaluation score (PRWE) and Mayo wrist scoring system. Results: According to the Herbert and Fisher's classification system there were 9 B2, 3 B3 and 1 B1 fractures in the dorsal approach group, and 12 B2 and 2 B1 fractures in the volar approach group. Fracture union was achieved in all patients. There was no significant difference between the two groups according to functional and clinical results (p>0.05). All patients returned to their jobs in an average of 4.2 weeks and there was no significant difference between the groups (p=0.437). Wrist flexion was significantly better in the control wrists in both groups (p=0.009). In one patient, the screw was removed due to ongoing pain and asymptomatic screw head displacement in the scaphotrapezoid joint was detected in another. Conclusion: The surgical approach does not affect the clinical and functional outcomes in percutaneous screw fixation of Type B scaphoid fractures. Percutaneous fixation is a valuable treatment method for Type B scaphoid fractures as it enables early wrist motion and high patient satisfaction. |
| Databáze: | OpenAIRE |
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