Deformities - Injuries

Scaphoid fractures

Scaphoid belongs to the wrist bones and is the most commonly fractured one. It usually occurs between 20 and 40 years of age. The more proximal the fracture is (closer to the elbow) the more unpredictable the prognosis of healing is.

Most scaphoid fractures can be successfully treated conservatively (with plaster cast for 8 weeks to 6 months). However the majority of surgeons prefer surgical treatment because plaster immobilization is not required, the patient returnσ to work early and the rate of postoperative complications is lower. A specially designed screw or wires are used. The last few years expert surgeons perform surgery according to minimal invasive techniques through very small incisions (1 cm). The undersigned follows exactly these techniques.

Due to peculiar vascularity of the scaphoid 2 serious complications can be encountered in the healing process: delayed union or non-union and avascular necrosis of the proximal part of the scaphoid. They are both treated with various types of bone grafts in combination with sophisticated surgical techniques.

All pictures originate from Mr M. Tyllianakis personal file