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Volume:8 Issue:10 Number:24 ISSN#:2563-5476
ACE Report #12042
Ace Report Cover Hand & Wrist

OTA 2019: Cast immobilization vs surgical fixation for bicortical fractures of scaphoid waist

How to Cite

OrthoEvidence. OTA 2019: Cast immobilization vs surgical fixation for bicortical fractures of scaphoid waist. ACE Report. 2019;8(10):24. Available from: https://myorthoevidence.com/AceReport/Report/12042

Study Type:Randomized Trial
OE Level Evidence:N/A
Journal Level of Evidence:N/A

Scaphoid Waist Internal Fixation for Fractures Trial (SWIFFT): A Randomized Controlled Trial, Economic Evaluation, and Nested Qualitative Study of Cast Immobilization versus Surgical Fixation for the Treatment of Adult Patients with a Bicortical Fracture of the Scaphoid Waist

Contributing Authors: ML Costa S Brealey L Cook J Dias C Fairhurst S Hinde A Ranga Study Team SWIFFT

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This ACE Report is a summary of a conference presentation or abstract. The information provided has limited the ability to provide an accurate assessment of the risk of bias or the overall quality. Please interpret the results with caution as trials may be in progress and select results may have been presented.


439 patients (408 analyzed) with scaphoid fractures were randomized to receive a below-elbow cast for 6-10 weeks or surgical fixation of the fracture using standard CE marked headless compression screws. The primary outcome of interest was the Patient-Rated Wrist Evaluation (PRWE) score at 52 weeks. Additional reported outcomes included the rate of nonunion, incidence of reoperation, and cost-effe...

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