Scaphoid waist fractures fixation with staple. Retrospective study of a not widespread procedure
| Autor: | A. Tulli, Francesco Fanfani, Gianfranco Merendi, G Cazzato, S. Donsante, D. Caviglia, Lorenzo Rocchi |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Radiography Wrist 03 medical and health sciences Fixation (surgical) Grip strength Fracture Fixation Internal Fractures Bone 0302 clinical medicine medicine Humans Malunion Scaphoid waist Range of Motion Articular General Environmental Science Work absence Retrospective Studies Scaphoid Bone 030222 orthopedics Hand Strength business.industry 030208 emergency & critical care medicine Retrospective cohort study medicine.disease Surgery medicine.anatomical_structure Treatment Outcome Fractures Ununited General Earth and Planetary Sciences business |
| Zdroj: | Injury. 51 |
| ISSN: | 1879-0267 |
| Popis: | Introduction In carpal scaphoid fractures, the surgical treatment with screw is considered the gold standard; shape memory staple however presents substantial advantages. The authors report a study on unstable fractures of the scaphoid waist (type B1, B2, B5, according to Herbert classification) treated with shape memory staple on a large sample of patients, with the aim to confirm the usefulness of this method, the quality of reduction and fixation, the functional results, the time of union and the possible complications. Materials and methods A retrospective analysis of 131 patients with scaphoid waist fractures with minimum follow-up 1 year was performed. Staples were used in all cases; technical details are discussed. Outcome measures were: postoperative pain, flexion-extension wrist range, hand grip strength, radiographic consolidation, work absence. Herbert and Fisher Grading System was used to assess subjective, objective and radiographic results. Results Consolidation was achieved in all cases of primary fractures (0–30 days) within three months after surgery, and within eight months in all but two cases of delayed unions (operated within 6 months of the injury). Pain was absent at follow-up in 79% of cases, never severe or unbearable, the average flexion-extension range achieved was 112°. Handgrip strength values were comparable to those of contralateral wrist in 75% of cases. Mean time lost at work was 7.4 weeks. No algo-distrophy or malunion were observed. Discussion Conclusions Scaphoid waist fractures’ treatment with shape memory staple should be considered as an excellent alternative to screw fixation. |
| Databáze: | OpenAIRE |
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