Comparison of Conservative Treatment and Surgery Treatment for Acute Scaphoid Fracture: A Meta‐Analysis of Randomized Controlled Trials

Shao, Chen; Zhang, Caihua; Jiang, Bo; Mi, Yunfeng; Zhu, Y.; Jia, Xuewen

doi:10.1007/s00268-022-06833-1

Cited by 6 publications

(2 citation statements)

References 42 publications

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“…[14][15][16] Other structured analyses of the literature have confirmed no clear difference in functional outcomes between surgical and nonsurgical treatment of these scaphoid fracture types. [17][18][19][20] Displaced Scaphoid Waist Fractures (Aside from Nonunions)…”

Section: Results Of Literature Review and Fracture Scenarios Acute No...mentioning

confidence: 99%

Surgical Treatment of Scaphoid Fractures: Recommendations for Management

Samade,

Awan

2024

J Wrist Surg

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Background: Several operative treatments exist for scaphoid fractures, varying by approach (e.g., ercutaneous, volar, or dorsal), implant type (e.g., screw or Kirschner wire), and bone raft choice (e.g., none, nonvascularized, or vascularized). Many previous systematic eviews and meta-analyses have investigated outcomes following different surgicalÚpproaches, the use of vascularized versus nonvascularized bone graft for scaphoidßracture nonunions, and treatment for specific fracture patterns. However, given the advancements n scaphoid fracture treatment in recent years, there is a need for updated treatment recommendations hat would be beneficial to hand surgeons. Purpose: We present a comprehensive review of the operative treatment of scaphoid fractures based on recent literature and propose a unified treatment algorithm for managing these fractures. Methods: The English-language literature was searched from 2002 to 2023 for high evidence level (e.g., randomized trials), review, and meta-analysis articles with the following search terms: “scaphoid, ”u8220“scaphoid” AND “nonunion, ” and “scaphoid” AND “malunion. ” Each article was creened by the authors to determine the scaphoid fracture scenario addressed and ubsequent treatment recommendations. The findings from article reviews were then rganized by scaphoid fracture types in this manuscript. Results: A total of 95 pertinent articles were ultimately selected and used as the basis for reviewing different scaphoid fracture scenarios. A treatment algorithm was then proposed based on literature review. Conclusion: This summary of the recent literature can guide hand surgeons in addressing scaphoidßractures. Future research in scaphoid fracture treatment, particularly for nonunions, would be most beneficial n the form of systematic review, meta-analysis, or multicenter prospective randomized clinical trials. Level of Evidence: IV

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Section: Results Of Literature Review and Fracture Scenarios Acute No...mentioning

confidence: 99%

Surgical Treatment of Scaphoid Fractures: Recommendations for Management

Samade,

Awan

2024

J Wrist Surg

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“…This systematic review emphasized that surgical treatment after scaphoid fractures was more effective regarding grip strength, wrist range of motion, return to work, and recovery time. However, it was emphasized that conservative and surgical treatments were similar regarding non‐union and complications [1]. The authors have performed a successful review following the preferred reporting items for systematic reviews and meta‐analyses (PRISMA) guidelines in this study, discussing the advantages and disadvantages of surgical and conservative treatment.…”

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confidence: 99%