Treatment of nondisplaced scaphoid waist fractures
has evolved from conventional cast immobilization to percutaneous
screw insertion. This study assessed clinical and radiologic
outcomes of volar percutaneous screw fixation for 15 type B2
scaphoid fractures (according to the Herbert and Fisher classification).
All patients were followed for an average of 33 months
(range, 6-50 months). All fractures achieved radiographic union
at an average of 57 days (range, 35-70 days), requiring no additional
procedures. None of the patients showed radiographic
signs of osteoarthritis, osteonecrosis of the scaphoid, or hardware-
related complications. For scaphoid waist fractures without
collapse, percutaneous screw fixation provided satisfactory
results with a high rate of union, early return of function, and
minimal complications. |
