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Type: Journal article
Title: Dorsal plating of unstable scaphoid fractures and nonunions
Author: Bain, G.
Turow, A.
Phadnis, J.
Citation: Techniques in Hand and Upper Extremity Surgery, 2015; 19(3):95-100
Publisher: Wolters Kluwer
Issue Date: 2015
ISSN: 1089-3393
Statement of
Gregory Bain, Arthur Turow, Joideep Phadnis
Abstract: Achieving stable fixation of displaced acute and chronic nonunited scaphoid fractures continues to be a challenge for the treating surgeon. The threaded compression screw has been the mainstay of treatment of these fractures for the last 3 decades; however, persistent nonunion after screw fixation has prompted development of new techniques. Recent results of volar buttress plating have been promising. We describe a novel technique of dorsal scaphoid plating. In contrast to volar plating, the dorsal plate is biomechanically more favorable as it utilizes the tension side of the scaphoid bone for dynamic compression. Dorsal scaphoid plating provides a more stable construct than the traditional Herbert screw and mitigates the need for vascular or corticocancellous bone grafting in most cases.
Keywords: Scaphoid fracture; plating; nonunion; internal fixation; acute fractures
Rights: Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved
RMID: 0030034701
DOI: 10.1097/BTH.0000000000000087
Appears in Collections:Medicine publications

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