Journal of Musculoskeletal Trauma

A Treatment of Carpal Scaphoid Fracture: Ki Do Hong, Sung Sik Ha, Sang Weon Park; J Korean Soc Fract 2000;13(4):1003-1010. Published online October 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.4.1003

Abstract PDF: PURPOSE
To analyze the clinical result of treatment of scaphoid fractures MATERIALS AND METHODS: From January 1994 to December 1998, we reviewed 25 carpal scaphoid fractures. Conservative treatment was performed in non-displaced, acute fractures and operative treatment was performed in others.
RESULT
Bony union takes average 13.6weeks of all cases and no statistical difference was seen between conservative treatment group(average : 12.7weeks) and operative treatment group(average : 14.1weeks). The complications were seen in 6 cases(24%), which were non-union in one case among the conservative treatment group, and non-union in one case, osteoarthritis in 3 cases and reflex sympathetic dystrophy in one case among the operative treatment group. Satisfactory results were 17(68%) of 25 cases by Maudsley's method. No statistical difference was seen between conservative treatment group(satisfactory results:78%) and operative treatment group(satisfactory results:63%)(p>0.05), but statistical difference was seen between acute fracture group(satisfactory result:81%) and others(satisfactory results:44%)(p<0.05).
CONCLUSION
More satisfactory result was seen in acute fracture group than in subacute and old fracture group, therefore we think early diagnosis has important role in result of treatment of scaphoid fracture. Also we think conservative treatment is preferable to non-displaced, acute fracture and operative treatment is preferable to others.

Operative Treatment of Carpal Scaphoid Fractures with Herbert Screw: Sung Joon Kim, Kuhn Sung Whang, Jong Sun Leem; J Korean Soc Fract 1995;8(1):206-215. Published online January 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.1.206

Abstract PDF: Carpal scaphoid fracture is most common in carpal bone injury, but its not easy to diagnose this fracture after affecting the damage, and also is not rane induced avasular neeresis and/or non-union. 13 cases of carpal scaphoid fractures (5 displaced fresh fractures and 8 non-unions) were treated by open reduction and internal fixation with Herbert screw and also cancellous bone graft taking from distal radius were performed on the cases of non-union. The results and conclusions were follows 1. Bony union takes average 11.8 weeks in displaced fresh fractures and average 14.4 weeks in non-unions. 2. By final assessment, excellent result was taken in 10 and good in 3. 3. It might be effective procedure for which cancellous bone was harvested from distal radius of same operative site. 4. Herbert srrew would be one of the good and rigid internal fixation device for the treatment of scaphoid fracture.

Surgical Treatment of Non-Union of the Carpal Scaphoid by Modified Matti-Russe Technique: Chearl Hyoung Kang, Chang Soo Kang, Young Sik Pyun, Kwang Soon Song, Byung Woo Min, Yo Han Choi; J Korean Soc Fract 1994;7(2):538-544. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.538

Abstract PDF: Although 90% of fresh carpal scaphoid fracture heals with adequate treatment, the rate of non-union is higher in untreated or misdiagnosed at the time of injury leading to carpal collapse and degenerative arthritis. We have treated these non-unions by modified Matti-Russe technique and all cases showed uneventful healing, but range of motion of the wrist joint decreased in some cases. We studied 18 patients of non-union of the carpal scaphoid treated modified Matti-Russe technique from November,1988 to December, 1992 and the results were as follows: 1. Among the 18 patients, the ratio of male and female was 16:2, and mean age was 23.0 years old. 2. Dominant hand was involved in 14 cases. 3. The fracture was most commonly situated at the waist of the scaphoid. 4. Bony union was obtained in all cases and the average time to radiological union was 18.0 weeks. 5. According to Maudsleys assessment, the results revealed as 7 cases of excellent, 9 cases of good and 2 cases of fair.

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