In Scaphoid surgery, a screw or pins are fit to calm down the fracture. At times, it is works as a bone attach to support bone healing process. Scaphoid surgery (to put a screw) is necessary in non-displaced cases to evade prolonged casting.
Complications & Classification of Scaphoid fracture
- Non union Scaphoid Fracture: If a scaphoid fracture goes unrecognized or disused; with no proper treatment, it could not heal. As mentioned above, poor blood supply is main reason for slow healing. Over a phase of time, unusual motion and fall down of the bone fragments can cause misalignment in the wrist and finally take shape of arthritis. Surgery can be applied, if this is diagnosed before it develops into arthritis.
- Complication due to Avascular necrosis: It has been seen in many cases that some part of scaphoid dies since of poor blood supply, causing collapse of the bone and arthritis eventually. Fracture in proximal 1/3rd of bone (the one that’s closest to your forearm) has nearly all probability of getting into this kind of complication. Same as the non-union complication: if bone situation has not reached to arthritis level, surgery is able to be completed to stabilize fracture and re-establish blood circulation.
- Complication due to Post-traumatic arthritis: If arthritis has already taken shape, salvage-type surgery steps can be taken, for example, remove degenerated bone or partial or even total fusion of wrist joint.
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