Scaphoid specific volar locking plate and non-vascularised iliac crest bone graft in scaphoid non-union. A comparative cohort study

Adrian J Talia; Andrew Fraval; Liam Halliday; Gabrielle McKie; Joseph Paiva; Duy M Thai

doi:10.1016/j.jor.2019.03.005

Scaphoid specific volar locking plate and non-vascularised iliac crest bone graft in scaphoid non-union. A comparative cohort study

J Orthop. 2019 Mar 25;16(4):337-341. doi: 10.1016/j.jor.2019.03.005. eCollection 2019 Jul-Aug.

Authors

Adrian J Talia¹, Andrew Fraval¹, Liam Halliday¹, Gabrielle McKie¹, Joseph Paiva², Duy M Thai¹

Affiliations

¹ Department of Orthopaedics, Level 1 South, Western Health, Gordon Street Footscray, VIC 3011, Australia.
² Department of Radiology, Western Health, Gordon Street Footscray, VIC 3011, Australia.

Abstract

Scaphoid non-union develops in 10% of scaphoid fractures. There is sparse literature on fixation methods other than screws. We compared union rates following fixation of scaphoid non-union using screw fixation and a novel method of plate fixation. Retrospective study. Union rates were assessed at 3 months post-operatively by a musculoskeletal radiologist. 15 patients underwent screw fixation and 15 underwent plate fixation. 86% union rate with screw fixation and 72% plate fixation united. There was no significant difference. Screw fixation and plate fixation in our institution both provide union rates that are consistent with the literature.

Keywords: CT, commuted tomography; DISI, dorsal intercalated segmental instability; Internal fixation; Non-union; SNAC, scaphoid non union advanced collapse; Scaphoid fracture; Screw fixation; Volar plate.