Operative Management for Pediatric and Adolescent Scaphoid Nonunions: A Meta-analysis
Este artículo es originalmente publicado en:
J Pediatr Orthop. 2017 Dec 15. doi: 10.1097/BPO.0000000000000916. [Epub ahead of print]
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Scaphoid fractures in the pediatric population represent ∼3% of all hand and carpal fractures. Cast immobilization has been shown to yield excellent results in the acute phase, however some patients develop nonunions. Currently, there is no consensus regarding the best surgical treatment after development of a pediatric/adolescent scaphoid nonunion.
Surgical treatment of pediatric/adolescent scaphoid fracture nonunions produce excellent union rates and functional outcomes after surgical intervention, using both grafted and nongrafted techniques. Future prospective studies are needed to assess if the outcomes of a specific technique are more favorable, as well as to determine if differences exist based on fracture location.
- PMID: 29252909 DOI: 10.1097/BPO.0000000000000916