PDF(Pubmed)
Abstract：
The purpose of this study was to evaluate the rate of union of scaphoid fractures managed with volar plating and assess postoperative complications.
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.
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.
This case series demonstrates volar plating of scaphoid fractures can be used as an alternative technique to achieve union.
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.
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.
This case series demonstrates volar plating of scaphoid fractures can be used as an alternative technique to achieve union.
摘要：
背景：本研究的目的是评估掌侧钢板治疗舟骨骨折的愈合率，并评估术后并发症。
方法：回顾性连续28例舟骨骨折患者，9例急性和19例慢性骨不连，在2013年至2019年期间，由一名外科医生进行手术固定，并进行掌骨舟骨钢板。对患者进行了至少3个月的随访，并在X光片或计算机断层扫描中确认了舟骨骨结合。记录术后并发症和需要切除钢板。
结果：总体愈合率为96%，所有19例慢性骨不连表现为放射学愈合，9例急性骨折中有1例未愈合，需要进行翻修手术。唯一确定的术后并发症是有症状的钢板撞击，有57％的病例需要切除钢板。
结论：本病例系列证明掌侧钢板治疗舟骨骨折可作为实现愈合的替代技术。
方法：回顾性连续28例舟骨骨折患者，9例急性和19例慢性骨不连，在2013年至2019年期间，由一名外科医生进行手术固定，并进行掌骨舟骨钢板。对患者进行了至少3个月的随访，并在X光片或计算机断层扫描中确认了舟骨骨结合。记录术后并发症和需要切除钢板。
结果：总体愈合率为96%，所有19例慢性骨不连表现为放射学愈合，9例急性骨折中有1例未愈合，需要进行翻修手术。唯一确定的术后并发症是有症状的钢板撞击，有57％的病例需要切除钢板。
结论：本病例系列证明掌侧钢板治疗舟骨骨折可作为实现愈合的替代技术。
