title: Dorsal Plating of Unstable Scaphoid Fractures and Nonunions.
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.
authors.affiliation: *Flinders University, Adelaide †Department of Orthopaedic Surgery, Flinders Medical Centre, Bedford Park, South Australia, Australia.
authors.forename: Gregory I
authors.initials: GI
authors.lastname: Bain
authors.forename: Arthur
authors.initials: A
authors.lastname: Turow
authors.forename: Joideep
authors.initials: J
authors.lastname: Phadnis
mesh_terms: D001860:Bone Plates; D001863:Bone Screws; D005593:Fracture Fixation, Internal / Q000379:methods*; D018460:Fractures, Comminuted / Q000601:surgery*; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D018579:Patient Selection; D021361:Scaphoid Bone / Q000293:injuries*