COMPARISON BETWEEN OPEN REDUCTION INTERNAL FIXATION AND PERCUTANEOUS FIXATION IN THE OUTCOME OF SCAPHOID FRACTURE: A PROSPECTIVE STUDY

Kumar  Rahul; Nilesh Kumar  Agrawal; Anant  Akash; Santosh  Kumar

doi:10.51168/sjhrafrica.v5i12.1502

Authors

Kumar Rahul Senior Resident, Department of Orthopaedics, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.
Nilesh Kumar Agrawal Senior Resident, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.
Anant Akash Senior Resident, Department of Orthopaedics, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.
Santosh Kumar Professor and Head, Department of Orthopaedics, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.

DOI:

https://doi.org/10.51168/sjhrafrica.v5i12.1502

Keywords:

ORIF, Percutaneous fixation, Screw Fixation, Scaphoid fracture

Abstract

Background

Almost 2-7% comprising all the fractures that included scaphoid. Mainly, they were observed in participants of the age group of 20-29 years. It occurs in 10.6 per 100,000 people in a year. Percutaneous screw fixation was possessed to be simpler which helped in the reduction of fracture as well as its fixation and not causing further injuries.

Objectives

The study aimed to compare the Open Reduction Internal Fixation approach to the percutaneous fixation technique for scaphoid fractures to examine the clinical, radiological, and functional results.

Materials and methods

The design of the study was prospective which took place at the Indira Gandhi Institute of Medical Sciences (IGIMS), Patna, Bihar, India. The study was conducted for one year from August 2023 to July 2024. Overall, 40 patients were enrolled in the study.

Results

The average age of all the participants was 34.1±8.3. Most of the participating patients were males. The right side of the side of fracture was present in 18 (45%) participants, while the left side of the fracture was present in 22 (55%).

Conclusion

The study found that a variety of surgical techniques can be used to treat scaphoid fractures. Two of the most effective methods for treating these fractures are the ORIF technique and percutaneous screw fixation with Herbert screws.

Recommendation

The incidence of non-union in acute proximal pole scaphoid fractures managed conservatively is significantly elevated; hence, open reduction internal fixation (ORIF) is advised.

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