SynthesisPloS one2016
Comparison of Dorsal and Volar Percutaneous Approaches in Acute Scaphoid Fractures: A Meta-Analysis.
Synthesis in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Epidemiology and Clinical Implications of Scaphoid Morphology Based on Morsy Classification.Journal of hand surgery global online · 2026Article
- Surgical Visualization of Scaphoid Fractures: A Three-Dimensional Study Comparing Dorsal and Volar Approaches.Hand (New York, N.Y.) · 2026Article
- Treatment of scaphoid nonunion with dual screw fixation in preventing postoperative humpback deformity.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026Article
- Enhanced scaphoid fixation with Kirschner wire: A clinical and finite element study.Joint diseases and related surgery · 2026Article
- Measurement study of the "optimal" screw axis location and its angles with the first and second metacarpals based on X imaging of the scaphoid bone.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- A Patient-Specific Three-Dimensional-Printed Surgical Guide for Dorsal Scaphoid Fracture Fixation: A Comparative Cadaver Study.Journal of hand surgery global online · 2025Article
- The Conservative and Operative Treatment of Carpal Fractures.Deutsches Arzteblatt international · 2024Review
- Does Proximal Hamate Graft for Proximal Scaphoid Reconstruction Restore Native Wrist Kinematics?Hand (New York, N.Y.) · 2023Article
- WALANT Technique in Percutaneous Scaphoid Osteosynthesis.Revista brasileira de ortopedia · 2022Article
- Excessive Derotational K-Wire Angulation Decreases Compression by Headless Compression Screw.Journal of wrist surgery · 2022Article
- Percutaneous Scaphoid Fixation: Experience Value among Different Approaches.Journal of wrist surgery · 2021Article
- Antegrade Versus Retrograde Technique for Fixation of Scaphoid Waist Fractures: A Comparison of Screw Placement.Journal of wrist surgery · 2020Article
- The Mini-Open Dorsal Approach to the Scaphoid.JBJS essential surgical techniquesArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
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Abstract
The dorsal approach allows better central screw placement along the long axis of the scaphoid compared with the volar approach in managing acute scaphoid fractures. However, it is unclear whether the dorsal approach leads to better clinical outcomes than the volar approach. This meta-analysis compared clinical outcomes, including the incidence of nonunion, postoperative complications, overall functional outcome, postoperative pain, grip strength, and range of wrist motion, between the dorsal and volar percutaneous approaches for the management of acute scaphoid fractures. Seven studies met the criteria for inclusion in the meta-analysis. The proportion of patients who developed nonunion (OR 0.74, 95% CI: 0.21 to 2.54; P = 0.63) and postoperative complications (OR 1.05, 95% CI: 0.45 to 2.44; P = 0.91) did not differ significantly between the dorsal and volar approaches. Both approaches also led to similar results in terms of overall functional outcome (95% CI: -0.39 to 0.22; P = 0.57), postoperative pain (95% CI: -0.52 to 0.46; P = 0.92), grip strength (95% CI: -4.56 to 1.02; P = 0.21), flexion (95% CI: -2.86 to 1.13; P = 0.40), extension (95% CI: -1.17 to 2.67; P = 0.44), and radial deviation (95% CI: -1.94 to 2.58; P = 0.78). However, ulnar deviation (95% CI: -7.48 to 0.05; P = 0.05) was significantly greater with the volar approach. Thus, orthopedic surgeons need to master both the dorsal and volar percutaneous approaches because not all acute scaphoid fractures can be dealt with completely with one approach.
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