Volar Plating of Scaphoid Fractures: A Retrospective Case Series
Konrad A Lemke1, Rejith V Mannambeth1, Christopher J Carman1
1The Alfred Hospital, Melbourne, Victoria, Australia.
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.
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Assessment:
1. Clinical Evaluation:
History: