Wu Feiran, Ng Chye Yew, Hayton Mike
Upper Limb Unit, Wrightington Hospital, Hall Lane, Appley Bridge, Wrightington, Wigan WN6 9EP, UK.
Upper Limb Unit, Wrightington Hospital, Hall Lane, Appley Bridge, Wrightington, Wigan WN6 9EP, UK.
Hand Clin. 2019 Aug;35(3):281-286. doi: 10.1016/j.hcl.2019.03.009. Epub 2019 May 11.
Internal fixation of the scaphoid using a plate has been reported in the literature as far back as 1977. Recently, a specific plate designed for scaphoids has been developed, which provides considerably more buttress support than intramedullary headless screws, and offers a reliable method of rigid internal fixation for complex fractures. Indications to use such a plate include complex acute fractures, such as those with significant waist comminution or steep reverse oblique fractures, and complex nonunions with central bone loss resulting from failed previous headless screw fixation. This is now the authors' preferred treatment for these injuries.
早在1977年，文献中就已报道了使用钢板对舟骨进行内固定。最近，一种专门为舟骨设计的钢板已被研发出来，它比髓内无头螺钉提供了更多的支撑，为复杂骨折提供了一种可靠的坚强内固定方法。使用这种钢板的适应症包括复杂的急性骨折，如那些伴有明显腰部粉碎或陡峭反向斜形骨折的情况，以及因先前无头螺钉固定失败导致中央骨缺损的复杂骨不连。这现在是作者对这些损伤的首选治疗方法。
