Scaphoid fracture and scaphoid pseudarthrosis – treatment

Procedure scaphoid fracture

Many scaphoid fractures are stable and hardly displaced. In these cases, conservative treatment with immobilization in a plaster cast for eight to twelve weeks can be carried out. Alternatively, these fractures can be screwed through a small incision in the skin (percutaneous). This has the advantage that the patient does not have to be immobilized for so long. If the fracture is displaced, surgery should be performed. The bone is brought back into the correct position and screwed into place. If there is a defect zone in the bone, this must be filled with bone from the end of the spoke.

Procedure for scaphoid pseudarthrosis

The aims of the treatment are to heal the bone on the one hand and to restore the correct shape of the bone on the other. This is a prerequisite for good wrist function. The wrong joint must be removed during the operation. The resulting defect is filled with bone, which is usually taken from the iliac crest. Fixation is also carried out with a screw. If the fracture fragments are not or no longer well supplied with blood, a piece of bone together with a vessel must be inserted. The follow-up treatment consists of immobilizing the wrist for six to eight weeks.

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