Postoperative Immobilization of Scaphoid Fractures: A Comprehensive Review of the Literature
The optimal protocol for postoperative immobilization following operative treatment of scaphoid fractures remains controversial. Reports of successful management with brief postoperative immobilization suggest that earlier restoration of function may be achieved by limiting the duration of immobiliz...
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| Veröffentlicht in: | HAND 2023-09, Vol.18 (6), p.905-911 |
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| creator | Simon, Michael Gencarelli, Pasquale Yang, Jason Elkhechen, Justin N. Avendano, John P. Kirschenbaum, David Katt, Brian M. |
| description | The optimal protocol for postoperative immobilization following operative treatment of scaphoid fractures remains controversial. Reports of successful management with brief postoperative immobilization suggest that earlier restoration of function may be achieved by limiting the duration of immobilization. However, the risk of nonunion and its associated complications suggest that a more conservative approach with extended immobilization could optimize fracture healing. This paper presents a thorough review of the relevant literature and summarizes the myriad postoperative immobilization protocols and their reported outcomes. Postoperative immobilization protocols and reported outcomes for displaced, comminuted, and proximal pole fractures are discussed separately. The literature is reviewed following different operative techniques, including open reduction internal fixation and percutaneous screw fixation. Vigilant postoperative care of scaphoid fractures managed surgically is warranted to monitor for signs of nonunion while attempting to regain motion and strength to the injured wrist. |
| doi_str_mv | 10.1177/15589447221093675 |
| format | Article |
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Reports of successful management with brief postoperative immobilization suggest that earlier restoration of function may be achieved by limiting the duration of immobilization. However, the risk of nonunion and its associated complications suggest that a more conservative approach with extended immobilization could optimize fracture healing. This paper presents a thorough review of the relevant literature and summarizes the myriad postoperative immobilization protocols and their reported outcomes. Postoperative immobilization protocols and reported outcomes for displaced, comminuted, and proximal pole fractures are discussed separately. The literature is reviewed following different operative techniques, including open reduction internal fixation and percutaneous screw fixation. 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Reports of successful management with brief postoperative immobilization suggest that earlier restoration of function may be achieved by limiting the duration of immobilization. However, the risk of nonunion and its associated complications suggest that a more conservative approach with extended immobilization could optimize fracture healing. This paper presents a thorough review of the relevant literature and summarizes the myriad postoperative immobilization protocols and their reported outcomes. Postoperative immobilization protocols and reported outcomes for displaced, comminuted, and proximal pole fractures are discussed separately. The literature is reviewed following different operative techniques, including open reduction internal fixation and percutaneous screw fixation. Vigilant postoperative care of scaphoid fractures managed surgically is warranted to monitor for signs of nonunion while attempting to regain motion and strength to the injured wrist.</description><subject>Fracture Fixation, Internal - methods</subject><subject>Fracture Healing</subject><subject>Fractures, Bone - surgery</subject><subject>Hand Deformities</subject><subject>Hand Injuries</subject><subject>Humans</subject><subject>Review</subject><subject>Scaphoid Bone - injuries</subject><subject>Scaphoid Bone - surgery</subject><subject>Wrist Injuries - surgery</subject><issn>1558-9447</issn><issn>1558-9455</issn><issn>1558-9455</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kVtr3DAQhUVoaW79AXkpfuzLJpKlsay-lLDkBgstbfpWEJI8m1WwLVeyt7S_PjKbLC2FgkDSzHeOBh1Czhg9Z0zKCwZQKyFkWTKqeCXhgBzNtYUSAK_2ZyEPyXFKj5SKqq7VG3LIASRwyo_I988hjWHAaEa_xeKu64L1rf-dr6Evwrr46sywCb4prqNx4xQxfSgui2Xohogb7NOs-oJbjz9netxgsfLjbJfRU_J6bdqEb5_3E_Lt-up-ebtYfbq5W16uFk5wNS5saRk2kgpVQ40KqsY6bsBI2TBb51Zea3AllmClcMxS1VgQDZgKHBjGT8jHne8w2Q4bh_0YTauH6DsTf-lgvP670_uNfghbzaiQtOQqO7x_dojhx4Rp1J1PDtvW9BimpMuqAsbKisuMsh3qYkgp4nr_DqN6jkX_E0vWvPtzwL3iJYcMnO-AZB5QP4Yp9vnD_uP4BME1l8U</recordid><startdate>20230901</startdate><enddate>20230901</enddate><creator>Simon, Michael</creator><creator>Gencarelli, Pasquale</creator><creator>Yang, Jason</creator><creator>Elkhechen, Justin N.</creator><creator>Avendano, John P.</creator><creator>Kirschenbaum, David</creator><creator>Katt, Brian M.</creator><general>SAGE Publications</general><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>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6726-3580</orcidid><orcidid>https://orcid.org/0000-0002-1554-4663</orcidid></search><sort><creationdate>20230901</creationdate><title>Postoperative Immobilization of Scaphoid Fractures: A Comprehensive Review of the Literature</title><author>Simon, Michael ; Gencarelli, Pasquale ; Yang, Jason ; Elkhechen, Justin N. ; Avendano, John P. ; Kirschenbaum, David ; Katt, Brian M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-b2b1ed7049858e956dbc3a5a77d1b81ed1edf5c2e25b74c1b09db54d5a65c5a13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Fracture Fixation, Internal - methods</topic><topic>Fracture Healing</topic><topic>Fractures, Bone - surgery</topic><topic>Hand Deformities</topic><topic>Hand Injuries</topic><topic>Humans</topic><topic>Review</topic><topic>Scaphoid Bone - injuries</topic><topic>Scaphoid Bone - surgery</topic><topic>Wrist Injuries - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Simon, Michael</creatorcontrib><creatorcontrib>Gencarelli, Pasquale</creatorcontrib><creatorcontrib>Yang, Jason</creatorcontrib><creatorcontrib>Elkhechen, Justin N.</creatorcontrib><creatorcontrib>Avendano, John P.</creatorcontrib><creatorcontrib>Kirschenbaum, David</creatorcontrib><creatorcontrib>Katt, Brian M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>HAND</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Simon, Michael</au><au>Gencarelli, Pasquale</au><au>Yang, Jason</au><au>Elkhechen, Justin N.</au><au>Avendano, John P.</au><au>Kirschenbaum, David</au><au>Katt, Brian M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Postoperative Immobilization of Scaphoid Fractures: A Comprehensive Review of the Literature</atitle><jtitle>HAND</jtitle><addtitle>Hand (N Y)</addtitle><date>2023-09-01</date><risdate>2023</risdate><volume>18</volume><issue>6</issue><spage>905</spage><epage>911</epage><pages>905-911</pages><issn>1558-9447</issn><issn>1558-9455</issn><eissn>1558-9455</eissn><abstract>The optimal protocol for postoperative immobilization following operative treatment of scaphoid fractures remains controversial. Reports of successful management with brief postoperative immobilization suggest that earlier restoration of function may be achieved by limiting the duration of immobilization. However, the risk of nonunion and its associated complications suggest that a more conservative approach with extended immobilization could optimize fracture healing. This paper presents a thorough review of the relevant literature and summarizes the myriad postoperative immobilization protocols and their reported outcomes. Postoperative immobilization protocols and reported outcomes for displaced, comminuted, and proximal pole fractures are discussed separately. The literature is reviewed following different operative techniques, including open reduction internal fixation and percutaneous screw fixation. 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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; SAGE Complete; PubMed Central |
| subjects | Fracture Fixation, Internal - methods Fracture Healing Fractures, Bone - surgery Hand Deformities Hand Injuries Humans Review Scaphoid Bone - injuries Scaphoid Bone - surgery Wrist Injuries - surgery |
| title | Postoperative Immobilization of Scaphoid Fractures: A Comprehensive Review of the Literature |
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