Functional outcome after percutaneous screw fixation of acute scaphoid fracture

TL;DR

This study shows that using a Herbert screw to treat acute scaphoid fractures leads to good wrist function recovery with few complications.

Contribution

The study provides evidence for the effectiveness of percutaneous Herbert screw fixation in treating acute scaphoid fractures.

Findings

Most patients had high postoperative functional scores (mean 94.48 ± 9.42) four weeks after surgery.

Percutaneous Herbert screw fixation was found to be effective with minimal complications.

Abstract

Scaphoid fractures are common in adults and are prone to complications such as nonunion and avascular necrosis due to the bone's
retrograde blood supply. Hence, this study evaluated the prevalence of excellent wrist functional outcomes following percutaneous Herbert
screw fixation for acute scaphoid fractures in a tertiary care hospital. A total of 67 patients were assessed using the Mayo wrist score
four weeks postoperatively. Most patients were young males with high postoperative functional scores (mean 94.48 ± 9.42),
indicating favorable recovery. Percutaneous fixation with a Herbert screw proved to be an effective and reliable treatment option with
excellent functional outcomes and minimal complications.