[Percutaneous fixation of scaphoïd fractures with arthroscopic assistance.]
We report the results of a series of 37 recent fractures of the scaphoid treated by percutaneous screwing under X-ray control with systematic realization of a wrist arthroscopy. In 22 cases the factures were undisplaced and we had 15 displaced fractures. In all the cases the wrist arthroscopy allows to check the quality of the reduction, the good positioning of the screws and the correct reduction of fragments. Union was obtained in all cases with an average of 62 days (range 45-80). The functional recovery of the operated wrists was good with an early return to work on average 21 days (between 0 days and 3 months). The systematic association of wrist arthroscopy to the percutaneous screwing secures the procedure which can be proposed to motived patients interested by a fast return to the active life. The quality and the stability of the reduction are controlled and avoid complications due to bad positioning of the material. The possibility of treating in the same time the associated intra carpal ligaments tears lesions is possible.
Martinache
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Clinique Saint-André, 5, boulevard de la Paix, 51100 Reims, France.
Mathoulin
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