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©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Feb 18, 2019; 10(2): 101-114
Published online Feb 18, 2019. doi: 10.5312/wjo.v10.i2.101
Published online Feb 18, 2019. doi: 10.5312/wjo.v10.i2.101
Return to sport following scaphoid fractures: A systematic review and meta-analysis
Joaquim S Goffin, Department of Orthopaedic and Trauma Surgery, Ninewells Hospital, Dundee DD2 1SY, United Kingdom
Quintin Liao, Department of Orthopaedic and Trauma Surgery, Forth Valley Royal Hospital, Larbert FK5 4WR, United Kingdom
Gregory AJ Robertson, Edinburgh Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, Scotland EH16 4SA, United Kingdom
Author contributions: Goffin JS, Liao Q and Robertson GAJ conceived the methodology for the manuscript, performed the literature search and analysis for the study, and wrote the manuscript.
Conflict-of-interest statement: All authors have no conflicts of interest to report.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Greg AJ Robertson, BSc, MBChB, MSc, Surgeon, Edinburgh Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, Scotland EH16 4SA, United Kingdom. greg_robertson@live.co.uk
Telephone: +44-131-2423545 Fax: +44-131-2423541
Received: September 12, 2018
Peer-review started: September 12, 2018
First decision: October 5, 2018
Revised: November 3, 2018
Accepted: January 10, 2019
Article in press: January 10, 2019
Published online: February 18, 2019
Peer-review started: September 12, 2018
First decision: October 5, 2018
Revised: November 3, 2018
Accepted: January 10, 2019
Article in press: January 10, 2019
Published online: February 18, 2019
Core Tip
Core tip: We recorded returned rates (RRS) and return times (RTS) to sport following acute scaphoid fractures. Eleven studies were included. Seven studies reported on conservative treatment (n = 77); eight studies reported on surgical treatment (n = 83). For conservative management, RRS was 90% (69/77), and RTS was 9.6 wk. For surgical management, RRS was 98% (81/83), and RTS was 7.3 wk. On meta-analysis, RRS (P < 0.045) and RTS (P < 0.002) were significantly better for surgical management compared to conservative management. Surgical management of acute scaphoid fractures can provide significantly improved RRS and RTS compared to conservative management.