INTRODUCTION: To investigate whether operative treatment leads to earlier return to previous activity level, 94 patients with the same number of isolated, acute, complete, stable and non-displaced fractures of the scaphoid mid-third were involved in a prospective, multicenter cohort study. METHOD: Fractures were either fixed with a cannulated screw or immobilized with a short arm cast, and followed for 6 months. RESULTS: By 15 weeks, patients receiving surgical treatment returned significantly earlier to their full time work and home activities, as well as achieved significantly better results for functional status, pain, and overall satisfaction. However, complication rates concerning union and secondary operative management were higher. CONCLUSION: Operative treatment therefore primarily facilitates earlier return to previous activity level, as well as better functional status, less pain and higher patient satisfaction, yet conservative treatment seems to be safer and associated with a lower complication rate.
INTRODUCTION: To investigate whether operative treatment leads to earlier return to previous activity level, 94 patients with the same number of isolated, acute, complete, stable and non-displaced fractures of the scaphoid mid-third were involved in a prospective, multicenter cohort study. METHOD:Fractures were either fixed with a cannulated screw or immobilized with a short arm cast, and followed for 6 months. RESULTS: By 15 weeks, patients receiving surgical treatment returned significantly earlier to their full time work and home activities, as well as achieved significantly better results for functional status, pain, and overall satisfaction. However, complication rates concerning union and secondary operative management were higher. CONCLUSION: Operative treatment therefore primarily facilitates earlier return to previous activity level, as well as better functional status, less pain and higher patient satisfaction, yet conservative treatment seems to be safer and associated with a lower complication rate.
Authors: S Quadlbauer; C Pezzei; J Jurkowitsch; H Krimmer; M Sauerbier; T Hausner; M Leixnering Journal: Oper Orthop Traumatol Date: 2019-08-21 Impact factor: 1.154
Authors: I S Neshkova; R G Jakubietz; D Kuk; M G Jakubietz; R H Meffert; K Schmidt Journal: Oper Orthop Traumatol Date: 2015-05-29 Impact factor: 1.154
Authors: Dominik Gruszka; Robert Herr; Hans Hely; Peer Hofmann; Daniela Klitscher; Alexander Hofmann; Pol Maria Rommens Journal: PLoS One Date: 2016-01-07 Impact factor: 3.240