International Journal of Orthopaedics Research

International Journal of Orthopaedics Research


International Journal of Orthopaedics Research
International Journal of Orthopaedics Research
Vol. 2, Issue 4 (2020)

Comparison of ORIF and percutaneous fixation of scaphoid fractures in Telangana population: Retrospective study


Srinivasa Mahendra Muniswamy Parasuraman, Madhusudhan Kumar Ummadisetty

Background: Scaphoid is the most frequently fractured carpal bone - accounting for 60% of all carpal fractures. Stable, un-displaced fractures can be treated non operatively, whereas unstable, displaced fractures or proximal pole fractures require operative procedures for early and proper healing.
Method: 35 scaphoid fractures were treated and studied. The fractures were evaluated with different radiographic views which are routinely used in diagnosing scaphoid fractures. Fractures which are appropriate for operative treatment were treated with Herbert screws. The injuries were graded as per Herbert and fisher classification. All the factures were first tried for percutaneous fixation using volar approach. If adequate reduction was not achieved or fracture is thought appropriate for open reduction were subjected to ORIF and bone grafting through volar or dorsal approach depending on the location of the fracture and both these groups were followed for a minimum period of 12 months.
Results: Out of 35 scaphoid fractures, 20 were on right side and 15 were on left side. As per Heartben – 15-B2, 16-A2, 4-C. In percutaneous fixation 14 (32%) had excellent results. In ORIF – 10 (28%) had excellent results, 9 (25.7%) had good results and 2 (5.7%) had fair results. Results were evaluated with various motion or movements score like wrist flexion and extension, mean range motion, mean grip strength score, activity score, mean MMWS score. The percutaneous technique group has increased score and motions as compared to ORIF group.
Conclusion: Percutaneous fixation in scaphoid fractures is an ideal method to treat these difficult fractures. It has proved that percutaneous group needed less duration of time for union and early return to functional activity. Lesser complications were noted in this group as compared to the ORIF group.
Download  |  Pages : 12-16
How to cite this article:
Srinivasa Mahendra Muniswamy Parasuraman, Madhusudhan Kumar Ummadisetty. Comparison of ORIF and percutaneous fixation of scaphoid fractures in Telangana population: Retrospective study. International Journal of Orthopaedics Research, Volume 2, Issue 4, 2020, Pages 12-16
International Journal of Orthopaedics Research International Journal of Orthopaedics Research