@article{article_1756959, title={Analysis of mid-term radiological and functional results of conservative versus surgical intervention in non-displaced and minimally displaced scaphoid fractures}, journal={Anatolian Current Medical Journal}, volume={7}, pages={900–905}, year={2025}, DOI={10.38053/acmj.1756959}, author={Erdoğan, Eralp and Güneş, Zafer}, keywords={Skafoid Kırıkları, Perkütan Fiksasyon, Herbert ve Fisher Sınıflandırması}, abstract={Aims: In patients with non-displaced or minimally displaced scaphoid fractures (Herbert and Fisher types A1-2, B1-3), we compared radiographic union time, functional outcomes, complication rates, and time to return to work between conservative treatment and percutaneous screw fixation. Methods: From 2013 to 2023, a study examined patients aged 18 to 65 who had recently undergone treatment at one large hospital for non-displaced or minimally displaced scaphoid fractures. Patients were divided into conservative and surgical (percutaneous fixation with headless compression screw) groups. The study looked at clinical and radiographic outcomes including as range of motion (ROM), grip strength, radiographic union, Visual Analog Scale (VAS), Quick Disabilities of the Arm, Shoulder, and Hand (Q-DASH) scores, scaphotrapezoid arthritis, complication rates, and return-to-work time. The statistical significance level was set at p <0.05. Results: A total of 107 patients (average age 34.87 years; 58.9% male) were included, with a mean follow-up time of 15.8 months. The surgical group had significantly shorter radiographic union and return-to-work durations (p <0.05). ROM and grip strength were higher in the surgery group, though not statistically significant. The surgical group had considerably decreased Q-DASH and VAS scores three and six months after surgery, but not twelve months. There were no significant variations in rates of delayed union, nonunion, malunion, or scaphotrapezoid arthritis across the groups. Conclusion: Both treatment methods improved union rates in non-displaced or minimally displaced scaphoid fractures. Percutaneous fixation has been linked to faster fracture healing, quicker return to work, and improved early function. Functional outcomes remained similar one year later. Surgical intervention may be useful for young, energetic persons who require quick mobilization, but conservative therapy is a viable and cost-effective option for compliant patients.}, number={6}, publisher={MediHealth Academy Yayıncılık}, organization={Bu çalışma herhangi bir dış destek almamıştır.}