Evidence map›Paper›PMID 40437431›Full record

ArticleBMC surgery2025

Comparison of arthroscopy-assisted versus open reduction and fixation for treating scaphoid fractures.

Xiaolong Du, Xuehai Ou, Jidong Liang, Chao Liu, Qianjin Zheng, Shaoyan Shi

Abstract readComparative Study
In one paragraph

Article in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Xiaolong DuDepartment of Hand Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, 710054, China. xiaolongdddu@sina.com.
Xuehai OuDepartment of Hand Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, 710054, China.
Jidong LiangDepartment of Hand Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, 710054, China.
Chao LiuDepartment of Hand Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, 710054, China.
Qianjin ZhengDepartment of Hand Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, 710054, China.
Shaoyan ShiDepartment of Hand Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, 710054, China.

Funding

Shaanxi Science and Technology Project Plan 2023-YBSF-644Xi'an Science and Technology Project Plan 23YXYJ0073
6 · The paper itself

Abstract

objectivesScaphoid fractures represent the most common type of carpal fracture. This study aimed to retrospectively evaluate and compare the therapeutic efficacy of wrist arthroscopy-assisted fixation versus conventional open reduction with fixation for scaphoid fractures.

methodsWe conducted a retrospective cohort study involving 159 patients with acute scaphoid fractures. Participants were stratified into two groups: the open reduction with fixation group (underwent open reduction and fixation) and the Arthroscopy group (received wrist arthroscopy-assisted fixation). Comparative analyses included operative duration, hospitalization length, fracture union time, and Visual Analog Scale (VAS) pain scores. Wrist functionality and range of motion were assessed using the Mayo wrist joint function scoring scale. Additionally, patient satisfaction was evaluated through a standardized questionnaire.

resultsFollowing propensity score matching (PSM), 54 matched pairs were analyzed. Baseline characteristics showed no significant intergroup differences. The Arthroscopy group exhibited statistically superior outcomes, including shorter operative time, reduced hospitalization, accelerated fracture union, and lower postoperative VAS scores. Mayo Wrist Scores were significantly higher in the Arthroscopy group, indicating better functional recovery. Furthermore, the Arthroscopy group demonstrated a lower overall complication rate and significantly improved scores in both physical and psychological assessment domains.

conclusionsWrist arthroscopy-assisted fixation significantly enhances postoperative recovery, yielding superior functional outcomes, reduced complications, and higher patient satisfaction compared to the open reduction with fixation group. This technique represents a promising approach for optimizing scaphoid fracture management.

Indexed as

ArthroscopyFracture Fixation, InternalFractures, BoneOpen Fracture ReductionScaphoid BoneAdultFemaleHumansMaleMiddle AgedPatient SatisfactionRetrospective StudiesTreatment OutcomeYoung AdultBoneOpen reduction and fixationScaphoid fractureWrist arthroscopy-assisted fixation

Identifiers

PMID40437431
PMCPMC12117715

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.