Acute Proximal Pole Scaphoid Fracture Fixation
Presented by Dr. Sudhir Warrier · MS (Ortho), D.Ortho; Clinical & Research Fellowship – Gyeongsang National University (Korea); Clinical Fellowship – Okayama University (Japan); Hand Surgery Fellowship – Govt. Stanley Hospital (Madras)
Acute Proximal Pole Scaphoid Fracture Fixation
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Sign in to watchCreate a free accountAn acute, displaced proximal-pole scaphoid fracture was selected for operative fixation. Through a dorsal approach, the fracture was found to have satisfactory vascularity. Bone grafting was therefore unnecessary, and direct reduction with compression-screw fixation was planned.
Discussion
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Successful proximal-pole scaphoid fixation depends on accurate dorsal exposure, protection of the scapholunate ligament, central antegrade screw placement and compression across viable fracture surfaces while avoiding articular penetration.
Key takeaway
Successful proximal-pole scaphoid fixation depends on accurate dorsal exposure, protection of the scapholunate ligament, central antegrade screw placement and compression across viable fracture surfaces while avoiding articular penetration.