Similar Clinical Outcomes at 1 Year with Surgical Fixation vs Casting for Scaphoid Waist Fractures

Study Type:Therapy

OE Level Evidence:1

Journal Level of Evidence:1

Surgery versus cast immobilisation for adults with a bicortical fracture of the scaphoid waist (SWIFFT): a pragmatic, multicentre, open-label, randomised superiority trial.

Lancet. 2020 Aug 8;396(10248):390-401.

Contributing Authors: JJ Dias SD Brealey C Fairhurst R Amirfeyz B Bhowal N Blewitt M Brewster D Brown S Choudhary C Coapes L Cook M Costa T Davis L Di Mascio G Giddins H Hedley C Hewitt S Hinde J Hobby S Hodgson L Jefferson K Jeyapalan P Johnston J Jones A Keding P Leighton A Logan W Mason A McAndrew I McNab L Muir J Nicholl M Northgraves J Palmer R Poulter Z Rahimtoola A Rangan S Richards G Richardson P Stuart N Taub A Tavakkolizadeh G Tew J Thompson D Torgerson D Warwick

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Synopsis

Four hundred and thirty-nine patients with bicortical scaphoid waist fracture were randomized to receive an open or percutaneous surgical fixation, or cast immobilization for 6-10 weeks. The primary outcome of interest was the Patient Rated Wrist Evaluation (PRWE) total score at 52 weeks post-treatment. Secondary outcomes of interest included PRWE pain and function sub-scale scores, Short Form 12 ...