57-291
Fijación percutánea en fracturas de escafoides carpiano agudas no desplazadas
Percutaneous fixation in acute non-displaced carpal scaphoid fractures.
RUIZ MARTÍNEZ M, GONZÁLEZ NAVARRO B, RUIZ LOZANO M, LIZAUR UTRILLA A. HOSPITAL GENERAL UNIVERSITARIO DE ELDA.
Recepción:
31/10/2022
Aceptación:
31/10/2022
Publicación:
31/10/2022
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Resumen (ES)
Introduction: The treatment of nondisplaced carpal scaphoid fractures is controversial. The objective is to present a series
of patients treated surgically. Material and Methods: Data of 42 consecutive patients with Herbert type B1 and B2 fractures
treated with percutaneous volar screw fixation were reviewed. Function was assessed using the quick-DASH (Disabilities
of the Arm, Shoulder and Hand) questionnaire. Radiologically, the fracture union and the scapholunate (AEL) and
capitolunar (ACL) angles were evaluated. Results: The mean follow-up time was 7.1 months (range, 5-12). The mean
quick-DASH score at the final evaluation was 2.3 points (range, 0-27.3), which is consistent with an excellent outcome.
Union was achieved in all cases, except one that presented nonunion, in a mean time of 5.7 weeks. The final mean AEL
and ACL angles were satisfactory. There were no cases of scapholunate instability. All the patients, except one, returned
to their previous activities in a mean time of 6.4 weeks. There was one case of pseudarthrosis, which required
reintervention. Two patients reported discomfort from the screw after consolidation, with excellent outcomes after
removed. Conclusion: Percutaneous screw fixation is an effective and safe method for nondisplaced or minimally
displaced carpal scaphoid fractures, favoring rapid recovery and return to previous activities
of patients treated surgically. Material and Methods: Data of 42 consecutive patients with Herbert type B1 and B2 fractures
treated with percutaneous volar screw fixation were reviewed. Function was assessed using the quick-DASH (Disabilities
of the Arm, Shoulder and Hand) questionnaire. Radiologically, the fracture union and the scapholunate (AEL) and
capitolunar (ACL) angles were evaluated. Results: The mean follow-up time was 7.1 months (range, 5-12). The mean
quick-DASH score at the final evaluation was 2.3 points (range, 0-27.3), which is consistent with an excellent outcome.
Union was achieved in all cases, except one that presented nonunion, in a mean time of 5.7 weeks. The final mean AEL
and ACL angles were satisfactory. There were no cases of scapholunate instability. All the patients, except one, returned
to their previous activities in a mean time of 6.4 weeks. There was one case of pseudarthrosis, which required
reintervention. Two patients reported discomfort from the screw after consolidation, with excellent outcomes after
removed. Conclusion: Percutaneous screw fixation is an effective and safe method for nondisplaced or minimally
displaced carpal scaphoid fractures, favoring rapid recovery and return to previous activities
Palabras clave (ES):
Fractura
percutánea.
Fijación
desplazada;
No
escafoides;
Resumen (EN)
Introduction: The treatment of nondisplaced carpal scaphoid fractures is controversial. The objective is to present a series
of patients treated surgically. Material and Methods: Data of 42 consecutive patients with Herbert type B1 and B2 fractures
treated with percutaneous volar screw fixation were reviewed. Function was assessed using the quick-DASH (Disabilities
of the Arm, Shoulder and Hand) questionnaire. Radiologically, the fracture union and the scapholunate (AEL) and
capitolunar (ACL) angles were evaluated. Results: The mean follow-up time was 7.1 months (range, 5-12). The mean
quick-DASH score at the final evaluation was 2.3 points (range, 0-27.3), which is consistent with an excellent outcome.
Union was achieved in all cases, except one that presented nonunion, in a mean time of 5.7 weeks. The final mean AEL
and ACL angles were satisfactory. There were no cases of scapholunate instability. All the patients, except one, returned
to their previous activities in a mean time of 6.4 weeks. There was one case of pseudarthrosis, which required
reintervention. Two patients reported discomfort from the screw after consolidation, with excellent outcomes after
removed. Conclusion: Percutaneous screw fixation is an effective and safe method for nondisplaced or minimally
displaced carpal scaphoid fractures, favoring rapid recovery and return to previous activities
of patients treated surgically. Material and Methods: Data of 42 consecutive patients with Herbert type B1 and B2 fractures
treated with percutaneous volar screw fixation were reviewed. Function was assessed using the quick-DASH (Disabilities
of the Arm, Shoulder and Hand) questionnaire. Radiologically, the fracture union and the scapholunate (AEL) and
capitolunar (ACL) angles were evaluated. Results: The mean follow-up time was 7.1 months (range, 5-12). The mean
quick-DASH score at the final evaluation was 2.3 points (range, 0-27.3), which is consistent with an excellent outcome.
Union was achieved in all cases, except one that presented nonunion, in a mean time of 5.7 weeks. The final mean AEL
and ACL angles were satisfactory. There were no cases of scapholunate instability. All the patients, except one, returned
to their previous activities in a mean time of 6.4 weeks. There was one case of pseudarthrosis, which required
reintervention. Two patients reported discomfort from the screw after consolidation, with excellent outcomes after
removed. Conclusion: Percutaneous screw fixation is an effective and safe method for nondisplaced or minimally
displaced carpal scaphoid fractures, favoring rapid recovery and return to previous activities
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