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Corresponding Author

Abdelrhman Esam Hasan

Document Type

Original Article

Abstract

Background: The scaphoid is the carpal bone most frequently fractured among all wrist injuries. Seventy percent of all scaphoid fractures in adults occur at the waist of the scaphoid.

Aims and objectives: To assess the management of scaphoid waist fracture fixation by percutaneous Herbert screw.

Patient and methods: This prospective research was done on 20 patients with scaphoid waist fractures, acute, stable, no avascular necrosis consistent with the Herbert and Fisher classification, normal scapholunate angle, scaphoid waist fractures with no displacement or minimal displacement, and delayed union waist fractures with no sclerosis, gaping, cyst formation, or humpback deformity. The sample was considered comprehensive as a result of the rare attendance of cases with scaphoid waist fractures.

Results: There was a highly statistically significant variance among the study population concerning time from injury to surgery and time to union. MAYO score analysis revealed that 25% of patients had an excellent score, 30% had a good score, 35% had a satisfactory score, and 10% had a poor score. In contrast, VAS pain score analysis revealed that six patients (30%) had no pain sensation, eight patients (40%) had a mild pain sensation, four patients (20%) had a moderate pain sensation, and two patients (10%) had a severe pain sensation.

Conclusion: For acute displaced scaphoid fractures, percutaneous retrograde fixation with Herbert screws is a dependable method that permits patients to use their hands more quickly with minimal complications and maximum satisfaction.

Keywords

Percutaneous Herbert Screw, Scaphoid Waist Fracture, Humpback Deformity, Kirschner Wires, Scapho-Lunate Angle

Subject Area

Orthopedics

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