Abstract
Aim: to compare the results of operative fixation of acute scaphoid fractures with those of non-operative treatment.
 Materials & Method: This clinical study was carried out among 26 patients with an acute nondisplaced or minimally displaced scaphoid fracture reported to the OPD of Orthopedics, Jawaharlal Nehru Medical College and Hospital, Bhagalpur, Bihar, India. Patients were non-randomly allocated to group A (non-operative treatment with a cast) and group B (internal fixation with a Herbert screw).
 Results: mean age of the study population was 41.23 years. Majority of them were male 21 (80.7%) and rest 5 (19.3%) were female. Out of total 26 scaphoid fracture cases 16 (61.5%) were of right hand and rest 10 (38.5%) found on the left hand. Most common location of fracture was waist fracture (B2) 10 cases. 100% union was observed in group B.
 Conclusions: study proves that Cast treatment has the disadvantages of longer immobilisation time, joint stiffness, reduced grip strength, and longer time to return to work whereas the operative fixation of acute scaphoid fractures results in predictable satisfactory union rate and good functional outcome.
 Keywords: cast treatment, scaphoid fracture
Highlights
IntroductionThere is no clear-cut protocol for deciding appropriate treatment technique
Once diagnosed, there is no clear-cut protocol for deciding appropriate treatment technique
The aim of the current study was to investigate the outcomes of operative treatment for minimally-displaced and undisplaced scaphoid fractures compared with nonoperative treatment; we attempted to illuminate the limitations of current studies and to provide suggestions for further studies to evaluate these therapeutic options for the treatment of acute scaphoid fractures
Summary
There is no clear-cut protocol for deciding appropriate treatment technique. Hand injuries are one of the commonest injuries seen in regarding whether to be managed conservatively or the accident and emergency department. Literature review hand injuries may result in major morbidity from loss of hand function.i Hand and wrist injuries contribute a reveled that there is insufficient evidence regarding position of immobilization There is little information neutral) or type of cast to be used in the nonoperative treatment of nondisplaced scaphoid fractures.vi As a result concerning the prevalence of hand fractures and their of the complex three-dimensional anatomy of the distribution between the phalanges, metacarpals and carpal bones.ii scaphoid, there are technical difficulties associated with the operative management.vii. The carpal scaphoid bone is known to play a key role in the function of the wrist. Identification and management of acute scaphoid fractures has generated substantial interest and research
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