Results of percutaneous fixation of Scaphoid fracture in patients with delayed presentation

Abstract

Background: A scaphoid fracture is the most common type of carpal bone fracture affecting young active people. Inspite of its occurrence, many a times scaphoid fracture goes undetected. A patient presenting late, makes the line of management even more controversial. The purpose of our study is to evaluate the results of percutaneous fixation of scaphoid fracture in patients with delayed presentation. Materials and Method: We did a prospective case study. 17 cases presented to us with delayed history of scaphoid fracture. All patients were managed by percutaneous fixation of the scaphoid with Herbert screw. Post-surgery patients were evaluated clinically and radiologically. Functional outcome was assessed by functional scores. Patient were followed up for minimum of 12 months. Results: Almost all patients returned to work within one-month post-surgery. 13 patients had excellent result. N2 patient has good result, one developed AVN and one lost to follow-up. Conclusion: We suggest percutaneous fixation of the scaphoid fracture by Herbert screw in cases with delayed presentation.