Fractures
Volar approach percutaneous minimally invasive treatment for fresh scaphoid waist fracture with headless hollow compression screw
Mao Renqun, Wang Peiji, Yao Haibo, Li Chuyan, Zhang Guolei, Chen Min, Tan Rongzhi
Published 2019-10-10
Cite as Chin J Hand Surg, 2019,35(05): 329-332. DOI: 10.3760/cma.j.issn.1005-054X.2019.05.004
Abstract
ObjectiveTo explore the operation skills and clinical efficacy of volar approach percutaneous minimally invasive treatment for fresh scaphoid waist fracture with headless hollow compression screw.
MethodsFrom May 2015 to May 2018, 14 cases of fresh scaphoid waist fractures were treated with percutaneous headless hollow compression screws through the volar approach. There were 3 cases of Herbert A2 type, 2 cases of B1 type and 9 cases of B2 type. They were undisplaced or slightly displaced (≤1 mm) fractures. The patients were followed up after operation to evaluate the clinical efficacy.
ResultsAll the 14 cases were successfully completed with intraoperative bleeding of 5 to 20 ml with an average of 12 ml. The operation time ranged from 40 to 75 min with an average of 55 min. The fracture reduction and screw position were correct. 13 patients were followed up and 1 patient was lost. The follow-up time ranged from 6 to 18 months, with an average of 12 months. All the fractures healed well without loosening of internal fixator. According to the Mayo wrist function score, the results were rated as excellent in 10 cases, good in 2 cases and fair in 1 case.
ConclusionThe volar approach percutaneous minimally invasive treatment for fresh scaphoid waist fracture with headless hollow compression screw has the advantages of small injury, high rate of fracture healing and definite curative effect.
Key words:
Scaphoid bone; Fracture fixation, internal; Compression screw; Volar
Contributor Information
Mao Renqun
Department of Hand and Foot Surgery, Shenzhen Nanshan People's Hospital, Shenzhen 518052, China
Wang Peiji
Department of Hand and Foot Surgery, the Second Hospital Affiliated to Suzhou Universtiy, Suzhou 215008, China
Yao Haibo
Department of Hand and Foot Surgery, Shenzhen Nanshan People's Hospital, Shenzhen 518052, China
Li Chuyan
Department of Hand and Foot Surgery, Shenzhen Nanshan People's Hospital, Shenzhen 518052, China
Zhang Guolei
Department of Hand and Foot Surgery, Shenzhen Nanshan People's Hospital, Shenzhen 518052, China
Chen Min
Department of Hand and Foot Surgery, Shenzhen Nanshan People's Hospital, Shenzhen 518052, China
Tan Rongzhi
Department of Hand and Foot Surgery, Shenzhen Nanshan People's Hospital, Shenzhen 518052, China
