Treatment of Scaphoid Fractures European Approaches

被引:14
作者
Dias, Joseph [1 ]
Kantharuban, Shanjitha [1 ]
机构
[1] Univ Hosp Leicester, Gwendolen Rd, Leicester LE5 4PW, Leics, England
关键词
Scaphoid; Fracture; Europe; Treatment; RANDOMIZED CONTROLLED-TRIALS; PERCUTANEOUS SCREW FIXATION; CONSERVATIVE TREATMENT; DISPLACED FRACTURES; NONOPERATIVE TREATMENT; INTERNAL-FIXATION; BONE SCREW; WAIST; NONUNION; EPIDEMIOLOGY;
D O I
10.1016/j.hcl.2017.04.003
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Scaphoid fractures account for 2% of all fractures. In Europe, the incidence is 12.4/100,000/y. This article focuses on the European perspective on understanding and management of these injuries. These fractures occur in young, active patients. The aim of treatment is union. Osteoarthritis is almost inevitable if the fracture does not unite. Cast immobilization is the treatment of choice in occult or stable fractures with 90% to 95% healing. Acute/primary surgery may be considered in some patients. The European literature stresses the importance of taking the patient's wishes into consideration after careful counseling about alternative treatment methods.
引用
收藏
页码:501 / +
页数:10
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