The Authors' Technique for Volar Plating of Scaphoid Nonunion

Feiran Wu; Chye Yew Ng; Mike Hayton

doi:10.1016/j.hcl.2019.03.009

The Authors' Technique for Volar Plating of Scaphoid Nonunion

Hand Clin. 2019 Aug;35(3):281-286. doi: 10.1016/j.hcl.2019.03.009. Epub 2019 May 11.

Authors

Feiran Wu¹, Chye Yew Ng¹, Mike Hayton²

Affiliations

¹ Upper Limb Unit, Wrightington Hospital, Hall Lane, Appley Bridge, Wrightington, Wigan WN6 9EP, UK.
² Upper Limb Unit, Wrightington Hospital, Hall Lane, Appley Bridge, Wrightington, Wigan WN6 9EP, UK. Electronic address: mikehayton@gmail.com.

PMID: 31178086
DOI: 10.1016/j.hcl.2019.03.009

Abstract

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.

Keywords: DISI; Fracture fixation; Humpback deformity; Nonunion; Scaphoid; Volar plate.

Publication types

Review

MeSH terms

Bone Plates*
Cancellous Bone / transplantation
Disability Evaluation
Fracture Fixation, Internal / methods*
Fractures, Ununited / surgery*
Hand Strength
Humans
Postoperative Care
Radius / transplantation
Range of Motion, Articular
Scaphoid Bone / injuries*
Scaphoid Bone / surgery*