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.
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。