A Novel Surgical Technique for Percutaneous Fixation of Scaphoid Fractures with Sniper Technique : A Case Report

Authors

  • Natdanai Chusing Department of Orthopaedics, Khon Kaen Hospital, Khon Kaen province, Thailand

Keywords:

scaphoid fracture, dorsal percutaneous fixation, sniper technique

Abstract

Background and Objects: The operative treatment of a nondisplaced or minimally displaced scaphoid waist fracture can be performed using dorsal percutaneous fixation. This article presents a novel surgical technique for dorsal percutaneous fixation of scaphoid fractures. It is designed for individuals with limited procedural experience and aims to offer a more straightforward alternative to the widely used Slade technique, known for its complexity.

Method: The authors provide a detailed description of the procedure for dorsal percutaneous fixation surgery using headless screws. The operation was performed on a patient who had a scaphoid waist fracture.

Result: Postoperatively, the effective compression length measured 9.5 mm, and an angle of 78.6° to the fracture. Bone union was achieved 8 weeks after the surgery.

Conclusion: This novel surgical technique can be an alternative to dorsal percutaneous fixation surgery for scaphoid waist fractures.

References

Slade JF 3rd, Grauer JN, Mahoney JD. Arthroscopic reduction and percutaneous fixation of scaphoid fractures with a novel dorsal technique. Orthop Clin North Am 2001(33(2)):247–61. doi.org/10.1016/S0030-5898(05)70247-9

Dodds SD, Zalikha AK, Rush AJ 3rd, Fullerton N. Retrospective review of differences in complication rates between dorsal percutaneous and mini-open surgical fixation of scaphoid fractures. J Wrist Surg 2021;10(1):42–7. doi.org/10.1055/s-0040-1716511

Li H, Guo W, Guo S, Zhao S, Li R. Surgical versus nonsurgical treatment for scaphoid waist fracture with slight or no displacement: A meta-analysis and systematic review. Medicine (Baltimore) 2018;97(48):e13266. doi.org/10.1097/MD.0000000000013266

Buijze GA, Goslings JC, Rhemrev SJ, Weening AA, Van Dijkman B, Doornberg JN, et al. CAST Trial Collaboration. Cast immobilization with and without immobilization of the thumb for nondisplaced and minimally displaced scaphoid waist fractures: a multicenter, randomized, controlled trial. J Hand Surg Am 2014;39(4):621–7. doi.org/10.1016/j.jhsa.2013.12.039

Kang KB, Kim HJ, Park JH, Shin YS. Comparison of dorsal and volar percutaneous approaches in acute scaphoid fractures: A meta-analysis. PLoS One 2016;11(9):e0162779. doi.org/10.1371/journal.pone.0162779

McCallister WV, Knight J, Kaliappan R, Trumble TE. Central placement of the screw in simulated fractures of the scaphoid waist: a biomechanical study. J Bone Joint Surg Am 2003;85(1):72–7. doi.org/10.2106/00004623-200301000-00012

Dodds SD, Panjabi MM, Slade JF 3rd. Screw fixation of scaphoid fractures: a biomechanical assessment of screw length and screw augmentation. J Hand Surg Am 2006;31(3):405–13. doi.org/10.1016/j.jhsa.2005.09.014

Kupperman A, Breighner R, Saltzman E, Sneag D, Wolfe S, Lee S. Ideal starting point and trajectory of a screw for the dorsal approach to scaphoid fractures. J Hand Surg Am 2018;43(11):993–9. doi.org/10.1016/j.jhsa.2018.03.044

Gutow AP. Percutaneous fixation of scaphoid fractures. J Am Acad Orthop Surg 2007;15(8):474–85. doi.org/10.5435/00124635-200708000-00004

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Published

2023-08-24

How to Cite

1.
Chusing N. A Novel Surgical Technique for Percutaneous Fixation of Scaphoid Fractures with Sniper Technique : A Case Report . SRIMEDJ [Internet]. 2023 Aug. 24 [cited 2024 May 10];38(4):416-9. Available from: https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/258523

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Section

Case report