A prospective study to assess the functional outcome following ORIF vs percutaneous fixation in Scaphoid Fracture

Ravi Mehrotra; Sanjeev Mahawar; Dhruv Lashkare; Raj Jaiswal

Volume : IX, Issue : III, March - 2020

A prospective study to assess the functional outcome following ORIF vs percutaneous fixation in Scaphoid Fracture

Ravi Mehrotra, Sanjeev Mahawar, Dhruv Lashkare, Raj Jaiswal

Abstract :

The study aimed to assess clinical, radiological as well as functional outcome in patients of scaphoid fracture following open reduction as compared to percutaneous fixation with Herbert Screw. This study was conducted at Department of orthopedics, for 1 year on 30 patients of scaphoid fracture. Fractures were first tried for percutaneous fixation using volar approach, ORIF with volar approach was used when adequate reduction was not achieved. Patients were followed at 2 week interval till union. Clinical assessment at final followup was performed using MMWS. The mean mean duration of presentation after injury of 19.9 days (3 to 162 days). The mean MMWS score was 93.8 (90–100) for percutaneous and 83.8 (70–95) for ORIF. Since fracture treated with percutaneous fixation are associated with early union and early return to functional activity as compared to ORIF, Herbert screw for fixation with percutaneous technique for scaphoid fracture must be encouraged for displaced or undisplaced fracture