کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4070107 1604402 2011 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Incidence of Scaphotrapezial Arthritis Following Volar Percutaneous Fixation of Nondisplaced Scaphoid Waist Fractures Using a Transtrapezial Approach
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Incidence of Scaphotrapezial Arthritis Following Volar Percutaneous Fixation of Nondisplaced Scaphoid Waist Fractures Using a Transtrapezial Approach
چکیده انگلیسی

PurposeTo investigate whether volar percutaneous screw fixation of scaphoid waist fractures via a transtrapezial approach causes degenerative changes at the scaphotrapezial (ST) joint at short- to medium-term follow-up.MethodsA total of 34 patients were available for follow-up at a mean of 6.1 years (minimum follow-up, 3.7 y) after volar percutaneous fixation of acute scaphoid waist fractures via a transtrapezial approach. The clinical follow-up examination included assessment of pain using a visual analog scale, range of motion, grip strength, and key pinch strength. We obtained radiographs of both hands in 3 views. We staged degenerative changes at the ST joint according to the modified Eaton and Glickel classification.ResultsThe modified Mayo wrist score showed excellent clinical results using the described technique. One patient showed asymptomatic unilateral stage 2 osteoarthritic changes at the ST joint. We noted 6 screw protrusions, which required screw removal in 2 patients, in the early stages of use of the transtrapezial technique. One patient was treated surgically for a bone cyst.ConclusionsVolar percutaneous screw fixation of nondisplaced scaphoid waist fractures using a transtrapezial approach does not lead to symptomatic scaphotrapezial osteoarthritis at short- to medium-term follow-up.Type of study/level of evidenceTherapeutic IV.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Hand Surgery - Volume 36, Issue 11, November 2011, Pages 1753–1758
نویسندگان
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