The Alfred Hospital, Melbourne, Victoria, Australia.
Cabrini Hospital - Malvern, Melbourne, Victoria, Australia.
Hand (N Y). 2023 Mar;18(2_suppl):46S-51S. doi: 10.1177/15589447221075674. Epub 2022 Feb 28.
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.
本研究旨在评估掌侧钢板治疗腕舟骨骨折的愈合率，并评估术后并发症。
回顾性连续病例系列研究，纳入 2013 年至 2019 年间由同一位外科医生采用掌侧舟骨钢板固定治疗的 28 例腕舟骨骨折患者，其中 9 例为急性骨折，19 例为慢性骨折。所有患者的随访时间均至少为 3 个月，通过 X 线或 CT 确认舟骨骨愈合。记录术后并发症和需要取出钢板的情况。
总的愈合率为 96%，19 例慢性骨折均显示影像学愈合，9 例急性骨折中有 1 例未愈合，需要进行 Revision 手术。唯一发现的术后并发症是有症状的钢板撞击，需要取出钢板的比例为 57%。
本病例系列研究表明，掌侧钢板固定可作为治疗腕舟骨骨折的一种替代技术，以达到愈合。
