A prospective multi-center cohort study of acute non-displaced fractures of the scaphoid: operative versus non-operative treatment
2006

Comparing Surgery and Cast for Scaphoid Fractures

Sample size: 140 publication Evidence: moderate

Author Information

Author(s): Boris M. Pfeiffer, Matthias Nübling, Hartmut R. Siebert, Michael Schädel-Höpfner

Primary Institution: AO Clinical Investigation and Documentation

Hypothesis

Patients with acute complete fractures of the mid third of the scaphoid treated surgically will return to their previous activity level sooner than those treated non-operatively.

Conclusion

The study aims to determine if surgical treatment leads to a faster return to daily activities compared to non-surgical treatment for scaphoid fractures.

Supporting Evidence

  • The study includes 12 sites across Germany and Austria.
  • It aims to evaluate the effectiveness of surgical versus non-surgical treatment for scaphoid fractures.
  • The primary outcome is the time to return to previous activity level.

Takeaway

This study is trying to find out if surgery helps people with wrist fractures get back to their normal activities faster than just using a cast.

Methodology

Non-randomized multiple center cohort study including 12 sites in Germany and Austria, comparing time to return to previous activity level between surgical and non-surgical treatments.

Potential Biases

Potential for bias due to non-randomized treatment allocation.

Limitations

The study design is non-randomized, which may introduce bias and uncontrolled confounding.

Participant Demographics

Adult patients with isolated, acute, non-displaced complete fractures of the mid third of the scaphoid.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2474-7-41

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