Volar Plating of Scaphoid Fractures: A Retrospective Case Series. (March 2023)

• Record Type: Journal Article
• Authors: Lemke, Konrad A.; Mannambeth, Rejith V.; Carman, Christopher J.; Csongvay, Steve
• Is Part Of: Hand. Volume 18:Number 2(2023)Supplement
• Page Start: 46S
• Page End: 51S
• Publication Date: 2023-03
• Subjects: scaphoid -- wrist -- fracture/dislocation -- diagnosis -- surgery -- specialty -- internal fixation -- volar plating -- scaphoid fracture; Hand -- Surgery -- Periodicals; Hand -- Surgery; Periodicals; 617.57005
• DOI: 10.1177/15589447221075674
• Languages: English
• ISSNs: 1558-9447

Abstract

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.