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. 2021 Jul;46(6):616-620.
doi: 10.1177/17531934211005637. Epub 2021 Apr 16.

Scaphoid plating for recalcitrant scaphoid fractures: a systematic review

Samuel D J Morgan  1 , Brahman S Sivakumar  2   3   4 , David J Graham  1   2
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Scaphoid plating for recalcitrant scaphoid fractures: a systematic review

Samuel D J Morgan et al. J Hand Surg Eur Vol. 2021 Jul.

Abstract

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.

Keywords: Scaphoid; fracture; nonunion; plating; review; volar.

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