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PERCUTANEOUS SCAPHOID FIXATION FROM A DORSAL APPROACH



Abstract

This study of 10 consecutive patients analysed the benefit of percutaneous scaphoid fixation in minimally or non-displaced scaphoid fractures, looking at time to union, range of movement and strength. In all but one patient, who had an associated distal radius fracture, early mobilisation was the goal. Fixation was by canulated compression screw in all cases.

Clinical and radiological union took place in a mean time of 7 weeks. Mobilisation was possible from 2 weeks postoperatively in nine of the 10 patients. By the time of union, there was minimal loss of mobility. Patient satisfaction was high. There was no need for prolonged immobilisation in a cast.

Secretary: Dr H.J.S. Colyn, Editor: Professor M.B.E. Sweet. Correspondence should be addressed to SAOA, Box 47363, Parklands, Johannesburg, 2121, South Africa.