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Archives of Orthopaedic and Trauma Surgery

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01-09-2010 | Orthopaedic Surgery

Acute non-displaced fractures of the scaphoid: earlier return to activities after operative treatment. A controlled multicenter cohort study

Authors: Michael Schädel-Höpfner, Marta Marent-Huber, Emre Gazyakan, Karin Tanzer, Klaus D. Werber, Hartmut R. Siebert

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 9/2010

Abstract

Introduction

To investigate whether operative treatment leads to earlier return to previous activity level, 94 patients with the same number of isolated, acute, complete, stable and non-displaced fractures of the scaphoid mid-third were involved in a prospective, multicenter cohort study.

Method

Fractures were either fixed with a cannulated screw or immobilized with a short arm cast, and followed for 6 months.

Results

By 15 weeks, patients receiving surgical treatment returned significantly earlier to their full time work and home activities, as well as achieved significantly better results for functional status, pain, and overall satisfaction. However, complication rates concerning union and secondary operative management were higher.

Conclusion

Operative treatment therefore primarily facilitates earlier return to previous activity level, as well as better functional status, less pain and higher patient satisfaction, yet conservative treatment seems to be safer and associated with a lower complication rate.

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Title: Acute non-displaced fractures of the scaphoid: earlier return to activities after operative treatment. A controlled multicenter cohort study
Authors: Michael Schädel-Höpfner
Marta Marent-Huber
Emre Gazyakan
Karin Tanzer
Klaus D. Werber
Hartmut R. Siebert
Publication date: 01-09-2010
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 9/2010
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-009-1004-8

At a glance: The STEP trials

Springer Medicine

Acute non-displaced fractures of the scaphoid: earlier return to activities after operative treatment. A controlled multicenter cohort study

Abstract

Introduction

Method

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Method

Results

Conclusion

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