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The range of movement, the grip and pinch strength, the modified Green\/O\u2019Brien functional score, return to work and sports, and radiological evidence of union were evaluated at each follow-up visit. Patients were followed sequentially for one year.<\/jats:p><jats:p>Those undergoing percutaneous screw fixation showed a quicker time to union (9.2 weeks vs 13.9 weeks, p &lt; 0.001) than those treated with a cast. There was a trend towards a higher rate of nonunion in the non-operative group, although this was not statistically significant. Patients treated by operation had a more rapid return of function and to sport and full work compared with those managed conservatively. There was a very low complication rate.<\/jats:p><jats:p>We recommend that all active patients should be offered percutaneous stabilisation for fractures of the waist of the scaphoid.<\/jats:p>","DOI":"10.1302\/0301-620x.90b1.19767","type":"journal-article","created":{"date-parts":[[2007,12,26]],"date-time":"2007-12-26T16:07:43Z","timestamp":1198685263000},"page":"66-71","source":"Crossref","is-referenced-by-count":191,"title":["Percutaneous screw fixation<i>versus<\/i>conservative treatment for fractures of the waist of the scaphoid"],"prefix":"10.1302","volume":"90-B","author":[{"given":"M. M.","family":"McQueen","sequence":"first","affiliation":[{"name":"Edinburgh Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, Old Dalkeith Road, Edinburgh EH16 4SU, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. 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