Volar Plating of Scaphoid Fractures: A Retrospective Case Series

Background: The purpose of this study was to evaluate the rate of union of scaphoid fractures managed with volar plating and assess postoperative complications. Methods: Retrospective consecutive case series of 28 patients with scaphoid fractures, 9 acute and 19 chronic nonunions, undergoing surgica...

Full description

Saved in:
Bibliographic Details
Published in:Hand (New York, N.Y.) N.Y.), 2023-03, Vol.18 (2_suppl), p.46S-51S
Main Authors: Lemke, Konrad A., Mannambeth, Rejith V., Carman, Christopher J., Csongvay, Steve
Format: Article
Language:English
Subjects:
Fractures, Bone - diagnostic imaging
Fractures, Bone - surgery
Fractures, Ununited - diagnostic imaging
Fractures, Ununited - surgery
Hand Deformities
Hand Injuries
Humans
Postoperative Complications
Retrospective Studies
Scaphoid Bone - diagnostic imaging
Scaphoid Bone - injuries
Scaphoid Bone - surgery
Surgery
Wrist Injuries - surgery
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background: The purpose of this study was to evaluate the rate of union of scaphoid fractures managed with volar plating and assess postoperative complications. Methods: Retrospective consecutive case series of 28 patients with scaphoid fractures, 9 acute and 19 chronic nonunions, undergoing surgical fixation with volar scaphoid plating by a single surgeon between 2013 and 2019. Patients were followed up for a minimum of 3 months with scaphoid bony union being confirmed on radiograph or computed tomography. Postoperative complications and need for plate removal were recorded. Results: Overall union rate of 96% with all 19 chronic nonunions demonstrating radiological union and 1 of 9 acute fractures not uniting and requiring revision surgery. The only postoperative complication identified was symptomatic plate impingement which necessitated plate removal in 57% of cases. Conclusions: This case series demonstrates volar plating of scaphoid fractures can be used as an alternative technique to achieve union.
ISSN:1558-9447
1558-9455
DOI:10.1177/15589447221075674