Treatment of scaphoid fractures using a memory alloy nail-feet-fixation device

Background Scaphoid fracture is a common carpal fracture, and its treatment often requires fixation devices. This study aimed to investigate the efficacy and safety of a memory alloy nail‐feet‐fixation (MANFF) device in treating scaphoid fractures. Methods Sixty‐six patients with closed scaphoid fra...

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Veröffentlicht in:ANZ journal of surgery 2016-07, Vol.86 (7-8), p.584-588
Hauptverfasser: Li, Chuan, Xu, Xiaoshan, Su, Yongyue, Zhou, Tianhua, Fan, Xinyu, Xu, Yongqing
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container_end_page 588
container_issue 7-8
container_start_page 584
container_title ANZ journal of surgery
container_volume 86
creator Li, Chuan
Xu, Xiaoshan
Su, Yongyue
Zhou, Tianhua
Fan, Xinyu
Xu, Yongqing
description Background Scaphoid fracture is a common carpal fracture, and its treatment often requires fixation devices. This study aimed to investigate the efficacy and safety of a memory alloy nail‐feet‐fixation (MANFF) device in treating scaphoid fractures. Methods Sixty‐six patients with closed scaphoid fractures were treated using the MANFF device between August 2011 and November 2013. Surgical outcomes were assessed using the Mayo wrist score, including pain intensity, functional status, range of motion and grip strength. Postoperative radiographic evaluation was performed every month. Results Herbert score of fracture stability was A in 36 patients, B in 20 and C in 10. Forty‐five patients were treated using the simple MANFF device, 10 with an auxiliary Kirschner wire and 11 underwent MANFF after autologous bone graft. Patients were followed‐up for a mean of 6.5 ± 1.2 months (range, 6–12 months). Bone union was achieved in all patients. There was no infection, non‐union, arthritic change, tendon issues or any other complications. At postoperative 6 months, 50 patients achieved excellent outcomes, nine achieved good outcomes, and seven achieved fair outcomes, with a mean score of 89.5 ± 6.3. Therefore, the rate of satisfactory outcomes (excellent and good) was 89.4%. Conclusions Treatment of scaphoid fractures using the MANFF method has good surgical outcomes in bone union and patient satisfaction.
doi_str_mv 10.1111/ans.13641
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This study aimed to investigate the efficacy and safety of a memory alloy nail‐feet‐fixation (MANFF) device in treating scaphoid fractures. Methods Sixty‐six patients with closed scaphoid fractures were treated using the MANFF device between August 2011 and November 2013. Surgical outcomes were assessed using the Mayo wrist score, including pain intensity, functional status, range of motion and grip strength. Postoperative radiographic evaluation was performed every month. Results Herbert score of fracture stability was A in 36 patients, B in 20 and C in 10. Forty‐five patients were treated using the simple MANFF device, 10 with an auxiliary Kirschner wire and 11 underwent MANFF after autologous bone graft. Patients were followed‐up for a mean of 6.5 ± 1.2 months (range, 6–12 months). Bone union was achieved in all patients. There was no infection, non‐union, arthritic change, tendon issues or any other complications. At postoperative 6 months, 50 patients achieved excellent outcomes, nine achieved good outcomes, and seven achieved fair outcomes, with a mean score of 89.5 ± 6.3. Therefore, the rate of satisfactory outcomes (excellent and good) was 89.4%. Conclusions Treatment of scaphoid fractures using the MANFF method has good surgical outcomes in bone union and patient satisfaction.</description><identifier>ISSN: 1445-1433</identifier><identifier>EISSN: 1445-2197</identifier><identifier>DOI: 10.1111/ans.13641</identifier><identifier>PMID: 27323700</identifier><language>eng</language><publisher>Melbourne: John Wiley &amp; Sons Australia, Ltd</publisher><subject>Adolescent ; Adult ; Alloys ; bone fracture ; Bone Screws ; Bone Wires ; Equipment Design ; Female ; Follow-Up Studies ; Fracture Fixation, Internal - methods ; Fracture Healing ; Fractures ; Fractures, Ununited - diagnosis ; Fractures, Ununited - surgery ; Humans ; internal fixation device ; Male ; memory alloy ; Middle Aged ; Orthopedics ; Radiography ; Retrospective Studies ; scaphoid bone ; Scaphoid Bone - diagnostic imaging ; Scaphoid Bone - injuries ; Scaphoid Bone - surgery ; Time Factors ; Treatment Outcome ; Wrist Injuries ; Young Adult</subject><ispartof>ANZ journal of surgery, 2016-07, Vol.86 (7-8), p.584-588</ispartof><rights>2016 Royal Australasian College of Surgeons</rights><rights>2016 Royal Australasian College of Surgeons.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4911-9b324948baaa09e8d27839b16849a984d308234ed5258f56d875f27fc417aa033</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fans.13641$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fans.13641$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27323700$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Chuan</creatorcontrib><creatorcontrib>Xu, Xiaoshan</creatorcontrib><creatorcontrib>Su, Yongyue</creatorcontrib><creatorcontrib>Zhou, Tianhua</creatorcontrib><creatorcontrib>Fan, Xinyu</creatorcontrib><creatorcontrib>Xu, Yongqing</creatorcontrib><title>Treatment of scaphoid fractures using a memory alloy nail-feet-fixation device</title><title>ANZ journal of surgery</title><addtitle>ANZ Journal of Surgery</addtitle><description>Background Scaphoid fracture is a common carpal fracture, and its treatment often requires fixation devices. This study aimed to investigate the efficacy and safety of a memory alloy nail‐feet‐fixation (MANFF) device in treating scaphoid fractures. Methods Sixty‐six patients with closed scaphoid fractures were treated using the MANFF device between August 2011 and November 2013. Surgical outcomes were assessed using the Mayo wrist score, including pain intensity, functional status, range of motion and grip strength. Postoperative radiographic evaluation was performed every month. Results Herbert score of fracture stability was A in 36 patients, B in 20 and C in 10. Forty‐five patients were treated using the simple MANFF device, 10 with an auxiliary Kirschner wire and 11 underwent MANFF after autologous bone graft. Patients were followed‐up for a mean of 6.5 ± 1.2 months (range, 6–12 months). Bone union was achieved in all patients. There was no infection, non‐union, arthritic change, tendon issues or any other complications. At postoperative 6 months, 50 patients achieved excellent outcomes, nine achieved good outcomes, and seven achieved fair outcomes, with a mean score of 89.5 ± 6.3. Therefore, the rate of satisfactory outcomes (excellent and good) was 89.4%. Conclusions Treatment of scaphoid fractures using the MANFF method has good surgical outcomes in bone union and patient satisfaction.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Alloys</subject><subject>bone fracture</subject><subject>Bone Screws</subject><subject>Bone Wires</subject><subject>Equipment Design</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Fracture Healing</subject><subject>Fractures</subject><subject>Fractures, Ununited - diagnosis</subject><subject>Fractures, Ununited - surgery</subject><subject>Humans</subject><subject>internal fixation device</subject><subject>Male</subject><subject>memory alloy</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><subject>scaphoid bone</subject><subject>Scaphoid Bone - diagnostic imaging</subject><subject>Scaphoid Bone - injuries</subject><subject>Scaphoid Bone - surgery</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Wrist Injuries</subject><subject>Young Adult</subject><issn>1445-1433</issn><issn>1445-2197</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10E1P2zAcBnALDY23HfYFkKVd4JDit8T2EdBGh1ARWld2s9zkbzAkcbEToN9-oS0cJs0X-_B7HlkPQl8pGdHhnNg2jSgvBN1Cu1SIPGNUy0-bNxWc76C9lB4IoUWh889oh0nOuCRkF02mEWzXQNvh4HAq7eI--Aq7aMuuj5Bwn3x7hy1uoAlxiW1dhyVura8zB9Blzr_azocWV_DsSzhA287WCb5s7n30-8f36fk4u7q--Hl-epWVQlOa6TlnQgs1t9YSDapiUnE9p4US2molKk4U4wKqnOXK5UWlZO6YdKWgckhwvo-O1r2LGJ56SJ1pfCqhrm0LoU-GKiJzTrhgA_32D30IfWyH360U07LgYlDHa1XGkFIEZxbRNzYuDSXmbWQzjGxWIw_2cNPYzxuoPuT7qgM4WYMXX8Py_03mdPLrvTJbJ3zq4PUjYeOjKSSXubmdXJiz8Ww8o39uzCX_C-5Dk2E</recordid><startdate>201607</startdate><enddate>201607</enddate><creator>Li, Chuan</creator><creator>Xu, Xiaoshan</creator><creator>Su, Yongyue</creator><creator>Zhou, Tianhua</creator><creator>Fan, Xinyu</creator><creator>Xu, Yongqing</creator><general>John Wiley &amp; Sons Australia, Ltd</general><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201607</creationdate><title>Treatment of scaphoid fractures using a memory alloy nail-feet-fixation device</title><author>Li, Chuan ; Xu, Xiaoshan ; Su, Yongyue ; Zhou, Tianhua ; Fan, Xinyu ; Xu, Yongqing</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4911-9b324948baaa09e8d27839b16849a984d308234ed5258f56d875f27fc417aa033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Alloys</topic><topic>bone fracture</topic><topic>Bone Screws</topic><topic>Bone Wires</topic><topic>Equipment Design</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Fracture Healing</topic><topic>Fractures</topic><topic>Fractures, Ununited - diagnosis</topic><topic>Fractures, Ununited - surgery</topic><topic>Humans</topic><topic>internal fixation device</topic><topic>Male</topic><topic>memory alloy</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Radiography</topic><topic>Retrospective Studies</topic><topic>scaphoid bone</topic><topic>Scaphoid Bone - diagnostic imaging</topic><topic>Scaphoid Bone - injuries</topic><topic>Scaphoid Bone - surgery</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Wrist Injuries</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Chuan</creatorcontrib><creatorcontrib>Xu, Xiaoshan</creatorcontrib><creatorcontrib>Su, Yongyue</creatorcontrib><creatorcontrib>Zhou, Tianhua</creatorcontrib><creatorcontrib>Fan, Xinyu</creatorcontrib><creatorcontrib>Xu, Yongqing</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>ANZ journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Chuan</au><au>Xu, Xiaoshan</au><au>Su, Yongyue</au><au>Zhou, Tianhua</au><au>Fan, Xinyu</au><au>Xu, Yongqing</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of scaphoid fractures using a memory alloy nail-feet-fixation device</atitle><jtitle>ANZ journal of surgery</jtitle><addtitle>ANZ Journal of Surgery</addtitle><date>2016-07</date><risdate>2016</risdate><volume>86</volume><issue>7-8</issue><spage>584</spage><epage>588</epage><pages>584-588</pages><issn>1445-1433</issn><eissn>1445-2197</eissn><abstract>Background Scaphoid fracture is a common carpal fracture, and its treatment often requires fixation devices. This study aimed to investigate the efficacy and safety of a memory alloy nail‐feet‐fixation (MANFF) device in treating scaphoid fractures. Methods Sixty‐six patients with closed scaphoid fractures were treated using the MANFF device between August 2011 and November 2013. Surgical outcomes were assessed using the Mayo wrist score, including pain intensity, functional status, range of motion and grip strength. Postoperative radiographic evaluation was performed every month. Results Herbert score of fracture stability was A in 36 patients, B in 20 and C in 10. Forty‐five patients were treated using the simple MANFF device, 10 with an auxiliary Kirschner wire and 11 underwent MANFF after autologous bone graft. Patients were followed‐up for a mean of 6.5 ± 1.2 months (range, 6–12 months). Bone union was achieved in all patients. There was no infection, non‐union, arthritic change, tendon issues or any other complications. At postoperative 6 months, 50 patients achieved excellent outcomes, nine achieved good outcomes, and seven achieved fair outcomes, with a mean score of 89.5 ± 6.3. Therefore, the rate of satisfactory outcomes (excellent and good) was 89.4%. Conclusions Treatment of scaphoid fractures using the MANFF method has good surgical outcomes in bone union and patient satisfaction.</abstract><cop>Melbourne</cop><pub>John Wiley &amp; Sons Australia, Ltd</pub><pmid>27323700</pmid><doi>10.1111/ans.13641</doi><tpages>5</tpages></addata></record>
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subjects Adolescent
Adult
Alloys
bone fracture
Bone Screws
Bone Wires
Equipment Design
Female
Follow-Up Studies
Fracture Fixation, Internal - methods
Fracture Healing
Fractures
Fractures, Ununited - diagnosis
Fractures, Ununited - surgery
Humans
internal fixation device
Male
memory alloy
Middle Aged
Orthopedics
Radiography
Retrospective Studies
scaphoid bone
Scaphoid Bone - diagnostic imaging
Scaphoid Bone - injuries
Scaphoid Bone - surgery
Time Factors
Treatment Outcome
Wrist Injuries
Young Adult
title Treatment of scaphoid fractures using a memory alloy nail-feet-fixation device
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