Fractures of the carpal scaphoid is the most common fracture of the carpus, and frequently diagnosis is delayed. We reviewed 20 cases of scaphoid fractures at the department of orthopaedic surgery, Wonju, Christian Hospital, Yonsei University
Wonju
College of Medicine, from January, 1982 to December, 1991. The objective of this study is to analyse the results of treatments according to the fracture types and treatment modalities.
@ES The results obtained were as follows;
@EN Among 20 patients, 19 were male and third & fourth decades were most prevaled(95%)
2. Causes of injuries were traffic accident in 8 cases, slip down in 6, falling down in 5, and unknown cause in one.
3. According to Russe's classification there were one proximal fracture, 17 middle third fractures, and 2 distal fractures. Undisplaced fractures were 9 cases, and displaced 11. Acute fractures were 14 cases, subacute 4, and old 2.
4. Associated injuries were transscaphoid perilunar dislocations in 5 cases, distal radius fracture in 3 cases, ulnar styloid fracture in 1, and other carpal bone fractures in 7.
5. Seven cases were treated by conservative method of which union could be obtained after average 8wks of cast immobilization.
6. Thirteen cases were treated by operative method either K-wire pinning or bone graft.
7. Fifty percent have excellent or good result according to Maudsley's criteria.
8. Among five cases ofpoor results, 3 cases had associated injuries with transscophoid perilunar dislocations.
9. Complications are arthritis in 3 cases, delayed union in one. and nonunion in one.byconservative method such as cast immobilization and displaced type should be treated by early open reduction and internalfixation.
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