2016
DOI: 10.1016/j.jhsa.2016.04.021
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Scaphoid Plate Fixation and Volar Carpal Artery Vascularized Bone Graft for Recalcitrant Scaphoid Nonunions

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Cited by 38 publications
(35 citation statements)
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“…Ensuring the bone graft is providing structural correction of the humpback without the plate helps to achieve this. Similar to our case, fractured screws and plates have been described with a vascularized graft 26 and another with cancellous bone. 13,15 Biomechanically, the plate has a similar load to failure (maximum force a structure can resist) to a headless compression screw 27 but was a less stiff construct (or less resistant to deformation), partly due to the thin 0.8-mm profile, although it has more resistance to rotational deformity.…”
Section: Discussionsupporting
confidence: 86%
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“…Ensuring the bone graft is providing structural correction of the humpback without the plate helps to achieve this. Similar to our case, fractured screws and plates have been described with a vascularized graft 26 and another with cancellous bone. 13,15 Biomechanically, the plate has a similar load to failure (maximum force a structure can resist) to a headless compression screw 27 but was a less stiff construct (or less resistant to deformation), partly due to the thin 0.8-mm profile, although it has more resistance to rotational deformity.…”
Section: Discussionsupporting
confidence: 86%
“…In our clinical experience with our one patient who fractured the screw (see above in complications section) and in the literature reports, 15,26 the construct tends to fail in the 1.5-mm screw shafts, just below the locked portion of the screw. Screws have also backed out of the plate, 15 and although there are reports of using cortical screws with success, we use locked screws.…”
Section: Discussionmentioning
confidence: 68%
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“…Four articles regarding the use of volar radial bone grafts for scaphoid nonunion and one study for Kienböck's disease met inclusion criteria and were included in the study. 14,[39][40][41][42] In total there were 132 patients with scaphoid nonunion. A clear mention regarding the presence or not of avascular necrosis was given only in two studies.…”
Section: Volar Bone Grafts From the Distal Radiusmentioning
confidence: 99%
“…14 Union was confirmed in eight out of nine (89%) patients. 33 In 2015 Bain et al found that dorsal scaphoid plating provides a more stable construct than the traditional Herbert screw and mitigates the need for vascular or cancellous bone grafting in most cases with a union rate of 90%. 15 We believe plate fixation has several advantages over single screw fixation and vascularized bone grafts.…”
Section: Discussionmentioning
confidence: 99%