Outcome of Arthroscopic Assisted Fracture Scaphoid Fixation

Document Type : Original Article

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Orthopedic Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

10.21608/aimj.2025.446522

Abstract

Background: Scaphoid fractures represent the most frequent type of carpal fractures, making up nearly 80% of these injuries. The scaphoid plays a critical role in maintaining wrist stability by linking the proximal and distal carpal bones. Damage to this bone has the potential to cause substantial complications, including nonunion, avascular necrosis, and the development of arthritis. These fractures predominantly occur in individuals between the ages of 20 and 40, with a peak around 25 years and an estimated annual incidence of 38 per 100,000 people.
Methods: This study was carried out at Abo Khalifa Emergency Hospital and AL Azhar University Hospitals. Twenty-one patients with displaced scaphoid fractures underwent arthroscopic-assisted reduction and fixation. Demographic data, injury characteristics, and outcomes were collected and analyzed.
Results: The study included 12 males (57%) and 9 females (43%), with a mean age of 34.4 ± 9.5 years (range: 20-50 years). Patients were categorized into three age groups: under 30 years (n = 8), 30-40 years (n = 7), and over 40 years (n = 6). All patients achieved fracture healing within 12 weeks, with a mean time to full union of 10.1 ± 1.4 weeks. Union was observed in 14% of patients by 8 weeks, 24% by 9 weeks, 19% by 10 weeks, 19% by 11 weeks, and 24% by 12 weeks.
Conclusion: Scaphoid fractures can be successfully managed with arthroscopic reduction, offering the advantage of precise fracture realignment while simultaneously allowing for the thorough assessment and treatment of associated soft-tissue injuries within a single procedure.

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