Clinical and radiological outcome of cast immobilisation versus surgical treatment of acute scaphoid fractures at a mean follow-up of 93 months

71 patients, above 16 years of age, with an acute fracture of the scaphoid were randomized to Herbert screw fixation or below elbow plaster cast immobilization. Patients underwent functional evaluation and radiographic assessment for an average of 93 months (range 73-110) postintervention. No medium-term difference in function or radiological outcome was evident between the management of scaphoid fracture surgically or in the traditional way of the plaster cast.