Scaphoid fracture treated by percutaneous fixation with arthroscope assistance

VernacularTitle:腕关节镜监视经皮螺钉内固定治疗新鲜腕舟骨骨折的初步临床疗效研究
Author: Licheng WEI
Keywords: scaphoid fracture; wrist arthroscope; percutaneous fixation; triangular fibrocartilage complex
From: China Journal of Endoscopy 2016;22(2):57-60
CountryChina
Language:Chinese
Abstract: Objective To investigate the preliminary clinical results of treating scaphoid fracture by percutaneous fixation with arthroscope assistance. Methods From October 2009 to May 2015, a consecutive series of 12 patients with scaphoid fracture were treated by percutaneous fixation with arthroscope assistance. Meanwhile TFCC was man-aged if necessary. As followed, X-ray was adopted for assessment bone healing at 6-month postoperation, 12-month postoperation. Postoperative evaluations included clinical measurement (grip strength and motion range), radiograph-ic, and functional (modified Mayo wrist score) parameters, Herbert and Fisher scaphoid fracture parameters. Healthy wrist as control group. Results All the scaphoid fracture were healed with an average healing time of 24 weeks. All 12 cases were followed for an average of 18.5 months. The function was rated excellent in 7 cases, good in 5 cases according to the modified Mayo wrist score. There was no difference between the injuried wrist and control group. Conclusion For scaphoid fracture, percutaneous fixation with arthroscope assistance is a reliable and minimally in-vasive method to treat scaphoid fracture.