Gold Coast University Hospital, Southport, QLD, Australia.
Australian Research Collaboration on the Hand (ARCH), Australia.
J Hand Surg Eur Vol. 2021 Jul;46(6):616-620. doi: 10.1177/17531934211005637. Epub 2021 Apr 16.
We conducted a systematic review of scaphoid plating for recalcitrant scaphoid fractures using EMBASE, Pubmed, Cochrane and MEDLINE. Thirteen studies were included. Ninety-three per cent of cases reported were male with a mean age of 27 years. Bony union was reported in eleven studies and achieved in 72% to 100% of cases. Scaphoid plates showed no significant difference in union incidence compared with headless compression screws. Mean removal incidence of plates was 21%. Postoperative flexion-extension arc was 119°. Grip strength improved by 14% postoperatively over that before surgery. There was a general improvement in patient-reported outcome measures. Eighty-six per cent of reported participants returned to their previous work. In these clinical reports, plates frequently required removal more frequently than headless compression screws.
我们使用 EMBASE、Pubmed、Cochrane 和 MEDLINE 对顽固性舟状骨骨折的舟状骨钢板固定进行了系统评价。纳入了 13 项研究。报告的病例中 93%为男性，平均年龄为 27 岁。11 项研究报告了骨愈合，愈合率为 72%至 100%。与无头加压螺钉相比，舟骨钢板在愈合率方面没有显著差异。钢板的平均取出率为 21%。术后屈伸弧为 119°。术后握力比术前提高了 14%。患者报告的结果测量指标普遍改善。86%的报告参与者恢复了之前的工作。在这些临床报告中，钢板的取出频率比无头加压螺钉更频繁。
