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Percutaneous Screw Fixation or Cast Immobilization for Nondisplaced Scaphoid Fractures by Charles D. Bond, Alexander Y. Shin, Mark T. McBride, and Khiem.

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Presentation on theme: "Percutaneous Screw Fixation or Cast Immobilization for Nondisplaced Scaphoid Fractures by Charles D. Bond, Alexander Y. Shin, Mark T. McBride, and Khiem."— Presentation transcript:

1 Percutaneous Screw Fixation or Cast Immobilization for Nondisplaced Scaphoid Fractures by Charles D. Bond, Alexander Y. Shin, Mark T. McBride, and Khiem D. Dao J Bone Joint Surg Am Volume 83(4):483-483 April 1, 2001 ©2001 by The Journal of Bone and Joint Surgery, Inc.

2 Anteroposterior (Fig. 1-A), oblique (Fig. 1-B), and lateral (Fig. 1-C) radiographs of a twenty-year- old man with an acute nondisplaced fracture of the scaphoid waist who was randomized to fixation with a percutaneous cannulated screw. Charles D. Bond et al. J Bone Joint Surg Am 2001;83:483 ©2001 by The Journal of Bone and Joint Surgery, Inc.

3 Anteroposterior (Fig. 1-A), oblique (Fig. 1-B), and lateral (Fig. 1-C) radiographs of a twenty-year- old man with an acute nondisplaced fracture of the scaphoid waist who was randomized to fixation with a percutaneous cannulated screw. Charles D. Bond et al. J Bone Joint Surg Am 2001;83:483 ©2001 by The Journal of Bone and Joint Surgery, Inc.

4 Anteroposterior (Fig. 1-A), oblique (Fig. 1-B), and lateral (Fig. 1-C) radiographs of a twenty-year- old man with an acute nondisplaced fracture of the scaphoid waist who was randomized to fixation with a percutaneous cannulated screw. Charles D. Bond et al. J Bone Joint Surg Am 2001;83:483 ©2001 by The Journal of Bone and Joint Surgery, Inc.

5 The wrist is placed supine over a towel roll and extended in order to assist in translation of the trapezium dorsal to the path of the guide-wire. Charles D. Bond et al. J Bone Joint Surg Am 2001;83:483 ©2001 by The Journal of Bone and Joint Surgery, Inc.

6 After the initial guide-wire is satisfactorily placed under fluoroscopic guidance, a second guide- wire is placed across the fracture site to prevent rotation of the fracture fragments during tapping and screw placement. Charles D. Bond et al. J Bone Joint Surg Am 2001;83:483 ©2001 by The Journal of Bone and Joint Surgery, Inc.

7 After the initial guide-wire is satisfactorily placed under fluoroscopic guidance, a second guide- wire is placed across the fracture site to prevent rotation of the fracture fragments during tapping and screw placement. Charles D. Bond et al. J Bone Joint Surg Am 2001;83:483 ©2001 by The Journal of Bone and Joint Surgery, Inc.

8 Postoperative anteroposterior (Fig. 4-A), oblique (Fig. 4-B), and lateral (Fig. 4-C) radiographs of the patient whose radiographs made at the time of injury are shown in Figure 1. Charles D. Bond et al. J Bone Joint Surg Am 2001;83:483 ©2001 by The Journal of Bone and Joint Surgery, Inc.

9 Postoperative anteroposterior (Fig. 4-A), oblique (Fig. 4-B), and lateral (Fig. 4-C) radiographs of the patient whose radiographs made at the time of injury are shown in Figure 1. Charles D. Bond et al. J Bone Joint Surg Am 2001;83:483 ©2001 by The Journal of Bone and Joint Surgery, Inc.

10 Postoperative anteroposterior (Fig. 4-A), oblique (Fig. 4-B), and lateral (Fig. 4-C) radiographs of the patient whose radiographs made at the time of injury are shown in Figure 1. Charles D. Bond et al. J Bone Joint Surg Am 2001;83:483 ©2001 by The Journal of Bone and Joint Surgery, Inc.


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