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://myorthoevidene.com/AceReport/Report/12042
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
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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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