{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T22:43:00Z","timestamp":1793054580294,"version":"4.5.0"},"reference-count":87,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Even today, the treatment of scaphoid nonunions remains challenging for the treating hand surgeon. Considering the biomechanical principles of wrist kinematics, especially the three-dimensional movement of the scaphoid, it is evident that a single headless compression screw does not provide sufficient stability to counteract all these forces, particularly rotational forces. Palmar plate fixation was initially introduced as a salvage procedure after failed screw fixation. It ensures very high rotational stability but also supports correction of the humpback deformity, reconstruction of scaphoid length, and prevents bone graft extrusion. However, indications have since been extended to include primary nonunion treatment in cases with humpback deformity or comminuted fractures. Even in recalcitrant cases (substantial bone loss, prior surgery failure, avascular necrosis, or durations exceeding 2 years), high union rates and favorable functional outcomes have been reported. This article attempts to summarize the biomechanical principles, indications, surgical techniques, and results following palmar angular stable plate fixation in scaphoid nonunions.<\/jats:p>","DOI":"10.1055\/s-0044-1793941","type":"journal-article","created":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T18:52:18Z","timestamp":1732128738000},"page":"008-023","source":"Crossref","is-referenced-by-count":1,"title":["Palmar Plate Fixation in Scaphoid Nonunions\u2014Surgical Technique and Review of the Literature"],"prefix":"10.1055","volume":"15","author":[{"given":"Stefan","family":"Quadlbauer","sequence":"additional","affiliation":[{"name":"AUVA Trauma Hospital Lorenz B\u00f6hler - European Hand Trauma and Replantation Center, Vienna, Austria"},{"name":"AUVA Research Center, Ludwig Boltzmann Institute for Traumatology, Vienna, Austria"},{"name":"Austrian Cluster for Tissue Regeneration, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chistoph","family":"Pezzei","sequence":"additional","affiliation":[{"name":"Hand Center Rudolfinerhaus, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"Hintringer","sequence":"additional","affiliation":[{"name":"Do\u0308bling Private Hospital, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Beer","sequence":"additional","affiliation":[{"name":"AUVA Trauma Hospital Lorenz B\u00f6hler - European Hand Trauma and Replantation Center, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Hausner","sequence":"additional","affiliation":[{"name":"AUVA Trauma Hospital Lorenz B\u00f6hler - European Hand Trauma and Replantation Center, Vienna, Austria"},{"name":"AUVA Research Center, Ludwig Boltzmann Institute for Traumatology, Vienna, Austria"},{"name":"Austrian Cluster for Tissue Regeneration, Vienna, Austria"},{"name":"Department of Orthopedics and Trauma surgery, Paracelsus Medical University, Salzburg, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Leixnering","sequence":"additional","affiliation":[{"name":"Hand Center Rudolfinerhaus, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josef","family":"Jurkowitsch","sequence":"additional","affiliation":[{"name":"AUVA Trauma Hospital Lorenz B\u00f6hler - European Hand Trauma and Replantation Center, Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,11,20]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"E41","DOI":"10.1097\/TA.0b013e31822458e8","article-title":"Scaphoid fracture epidemiology","volume":"72","author":"A D Duckworth","year":"2012","journal-title":"J Trauma Acute Care Surg"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1007\/s00402-001-0365-4","article-title":"Use of extracorporeal shock-wave therapy (ESWT) in the treatment of non-unions. 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