The Journal of Bone and Joint Surgery (American). 2008;90:1793.
doi:10.2106/JBJS.9008.ebo3
© 2008 The Journal of Bone and Joint Surgery, Inc.
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Evidence-Based Orthopaedics

Percutaneous Screw Fixation Led to Faster Recovery and Return to Work Than Immobilization for Fractures of the Waist of the Scaphoid

McQueen MM, Gelbke MK, Wakefield A, Will EM, Gaebler C. Percutaneous Screw Fixation versus Conservative Treatment for Fractures of the Waist of the Scaphoid: A Prospective Randomised Study. J Bone Joint Surg Br. 2008;90:66-71.[CrossRef][Medline]

The first 20% of the full text of this article appears below.

Question: In patients with fractures of the waist of the scaphoid, what is the effectiveness of percutaneous screw fixation compared with cast immobilization?

Design: Randomized (allocation concealed), blinded (outcome assessors), controlled trial with 1-year follow-up.

Setting: 2 orthopaedic trauma units in Edinburgh, United Kingdom, and Vienna, Austria.

Patients: 60 patients who were 17 to 65 years of age (mean age, 29 y; 83% men) and had a Herbert type B1 (1 patient) or B2 (59 patients) fracture of the scaphoid (7 displaced, 53 undisplaced). 25 patients had sustained a fracture to the dominant side. Exclusion criteria included previous ipsilateral fracture of the scaphoid, additional injuries to the ipsilateral upper extremity, a pathological condition of the bone, a terminal disease, substance abuse, and polytrauma. Follow-up was 100% at 8 weeks, 93% at 12 weeks, 95% at 26 weeks, . . . [Full Text of this Article]

Ruby Grewal, MD

St. Joseph's Health Care London
London, Ontario, Canada

Graham King, MD

University of Western Ontario
London, Ontario, Canada


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