Percutaneous scaphoid fixation

Abstract

The patient was identified in the preoperative holding area. The affected wrist was marked. The patient was taken to the operating room and placed in the supine position with the arm abducted on a radiolucent arm table. Regional anesthesia was induced. Prepping and draping of the injured upper extremity was done. Two rolled towels were used under the supinated wrist to allow for adequate dorsiflexion. Under fluoroscopy control, and with the wrist hyperextended, the guidewire for the cannulated screw system was placed through the volar scaphoid tuberosity, directed along the proximal aspect, dorsally, and ulnarly slightly diagonal to the longitudinal axis of the scaphoid and across the fracture site.