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Journal of Hand Surgery (British and European Volume)
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Articles

Acutrak Screw Fixation Versus Cast Immobilisation for Undisplaced Scaphoid Waist Fractures

L. ADOLFSSON
T. LINDAU
M. ARNER

From the Department of Plastic Surgery, Hand Surgery and Burns, University Hospital, Linköping, Sweden and the Hand Unit, Department of Orthopaedics, University Hospital, Lund, Sweden

Correspondence: Dr Lars Adolfsson, Dept of Plastic Surgery, Hand Surgery and Burns, University Hospital, 581 85 Linköping, Sweden.

Fifty-three patients with less than 14 day-old, undisplaced fractures of the waist of the scaphoid were randomized to two groups. Twenty-eight patients were treated by immobilisation in a below elbow plaster cast for 10 weeks while 25 were treated by percutaneous insertion of an Acutrak standard screw. There were no statistically significant differences between the two treatment groups with regard to either the rate of union or the time to union. Patients who underwent surgery had a significantly better range of motion at 16 weeks but there were no significant differences for grip strength. Acute percutaneous internal fixation of undisplaced scaphoid waist fractures using the Acutrak screw allows early mobilisation without adverse effects on fracture healing.

Journal of Hand Surgery (British and European Volume), Vol. 26, No. 3, 192-195 (2001)
DOI: 10.1054/jhsb.2001.0558
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