Background: The purpose of this study was to evaluate the rate of union of scaphoid fractures managed with volar plating and assess postoperative complications.
Methods: 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.
Results: 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.
Conclusions: This case series demonstrates volar plating of scaphoid fractures can be used as an alternative technique to achieve union.
Keywords: diagnosis; fracture/dislocation; internal fixation; scaphoid; scaphoid fracture; specialty; surgery; volar plating; wrist.