Our Summary

This study examines the effectiveness of using magnesium-based screws to treat fractures in the scaphoid bone, one of the small bones in the wrist. The researchers looked at 21 patients who received this treatment between 2015 and 2018. These patients had varying types of scaphoid fractures, all of which were fixed using biodegradable magnesium-based screws. The results showed that all patients’ fractures healed, and they experienced little to no pain and maintained a good range of motion. Measurements of grip and pinch strength, as well as range of motion, were taken at the final check-up and compared to the uninjured side. There were no complications or need to remove any screws in any of the patients. The researchers concluded that magnesium-based screws are a safe and effective treatment for acute scaphoid fractures.

FAQs

  1. What was the main focus of this study on scaphoid fractures?
  2. What were the outcomes of using magnesium-based screws in scaphoid fracture treatments?
  3. Were there any complications or need to remove the screws after the surgery?

Doctor’s Tip

A doctor might advise a patient undergoing scaphoid fracture surgery to follow post-operative care instructions carefully, including keeping the affected wrist elevated, applying ice as needed, and attending physical therapy sessions to aid in recovery and regain strength and range of motion in the wrist. It is also important to follow up with the doctor for regular check-ups to monitor the healing process and ensure proper healing of the fracture.

Suitable For

Patients who are typically recommended scaphoid fracture surgery are those with acute fractures of the scaphoid bone that are displaced or unstable, as well as those who have failed conservative treatment methods such as immobilization in a cast. Surgery may also be recommended for patients with delayed union or nonunion of the fracture, as well as for those who have associated ligament injuries or other complications. Additionally, patients with multiple fractures or fractures that involve the proximal pole of the scaphoid may also be candidates for surgery.

Timeline

Before scaphoid fracture surgery:

  • Patient experiences pain, swelling, and limited range of motion in the wrist
  • X-rays are taken to confirm the fracture
  • Patient may undergo a period of immobilization with a cast or splint
  • If the fracture does not heal with conservative treatment, surgery may be recommended

After scaphoid fracture surgery:

  • Patient undergoes surgery to fix the fracture using magnesium-based screws
  • Post-operative care includes immobilization with a cast or splint
  • Patient undergoes physical therapy to regain strength and range of motion in the wrist
  • Follow-up appointments are scheduled to monitor healing and progress
  • Patient eventually returns to normal activities with little to no pain and good range of motion in the wrist

What to Ask Your Doctor

  1. What is a scaphoid fracture and why is surgery necessary to treat it?
  2. How long is the recovery process after scaphoid fracture surgery?
  3. What are the potential risks and complications associated with scaphoid fracture surgery?
  4. How successful is using magnesium-based screws compared to traditional methods for treating scaphoid fractures?
  5. Will I need physical therapy or rehabilitation after surgery?
  6. How soon after surgery can I expect to return to normal activities?
  7. Are there any restrictions or limitations I should be aware of during the recovery period?
  8. What is the long-term outlook for someone who has undergone scaphoid fracture surgery with magnesium-based screws?
  9. Will I need any follow-up appointments or imaging studies to monitor the healing process?
  10. Are there any alternative treatment options for scaphoid fractures that I should consider?

Reference

Authors: Polat O, Toy S, Kibar B. Journal: Jt Dis Relat Surg. 2021;32(3):721-728. doi: 10.52312/jdrs.2021.298. Epub 2021 Nov 19. PMID: 34842105