Technical TricksA Technical Note on Percutaneous Scaphoid Fixation Using a Hybrid TechniquePirela-Cruz, Miguel A MD; Battista, Vincent MD; Burnette, Solange MD; Hansen, Tarl OTR Author Information From the Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center, El Paso, TX. Accepted for publication February 23, 2005. Reprints: Miguel A. Pirela-Cruz, MD, Associate Professor of Orthopaedic Surgery, Texas Tech University Health Sciences Center, Department of Orthopaedic Surgery, El Paso, TX 79905. Journal of Orthopaedic Trauma 19(8):p 570-573, September 2005. | DOI: 10.1097/01.bot.0000161538.39527.01 Buy Metrics Abstract This article describes a percutaneous fixation technique for a midwaist scaphoid fracture using an antegrade (dorsal) guidewire and a retrograde (volar) cannulated screw placement. This simplified hybrid technique allows for accurate dorsal central wire placement and stable internal fixation with minimal violation of the articular cartilage of the proximal pole of the scaphoid. © 2005 Lippincott Williams & Wilkins, Inc.