Treatment of scaphoid fracture non-union: a systematic review of the current evidence
Abstract
Fractures of the scaphoid are susceptible to consequences including non-union, delayed union, malunion, and avascular necrosis. The treatment of non-union of the scaphoid remains contentious, and there is no consensus regarding the appropriate management strategy. This systematic review's main objective was to examine the current data for the management of scaphoid non-union. This study was conducted and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and the common practices in the field. Eligible articles were identified by a search of OVID-MEDLINE, PubMed, and EMBASE for the period of 1st January, 2000 up to 30th April, 2023. A through database searching resulted in a total of 786 entries, of which 156 were from EMBASE, 118 from OVID-MEDLINE, and 512 from PUBMED. After duplicate records were eliminated, 165 records were checked for eligibility and 147 of these were disregarded for a variety of reasons, including animal studies (n=16), not related to the topic (n=63), and the outcome was not presented (n=68). The eligibility of the remaining 18 full-text publications was evaluated. Eighteen articles passed the inclusion tests and were added to the research after a thorough evaluation. Scaphoid fractures and nonunion required careful examination of therapeutic options. Bone grafting procedures, such as arthroscopic fixation with bone grafting and the Fisk-Fernandez approach, had excellent outcomes.…
How strong is the evidence?
Evidence Hub reads this as a systematic review. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid. Reported size: 68 participants or records.
Read the paper
Related studies
- Global, regional, and national burden of hepatitis B, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019
- A meta‐analysis of anal cancer incidence by risk group: Toward a unified anal cancer risk scale
- Global fertility in 204 countries and territories, 1950–2021, with forecasts to 2100: a comprehensive demographic analysis for the Global Burden of Disease Study 2021
- Exercise interventions in Alzheimer's disease: A systematic review and meta-analysis of randomized controlled trials
- Prognostic Significance of Carbonic Anhydrase IX Expression in Cancer Patients: A Meta-Analysis
- Glucocorticoid Resistance: Is It a Requisite for Increased Cytokine Production in Depression? A Systematic Review and Meta-Analysis
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.