Volar Plating of Scaphoid Fractures: A Retrospective Case Series.

Abstract

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.