Abstract
Treatment of scaphoid nonunion after failed surgery for acute scaphoid fracture presents a unique challenge. Prior surgery complicates evaluation of the patient and increases the technical difficulty of future procedures. Healing of nonunion is crucial to prevention of carpal collapse and progressive arthritis. It is required to identify whether the technical factors or treatment methods led to the failure of primary surgery. CT is important for confirming nonunion and planning revision surgery. Several studies have described the use of bone grafts and fixation devices for scaphoid nonunion repair, including nonvascularized and vascularized bone grafts, screws, pins, and plates. Satisfactory healing rates have been achieved using nonvascularized bone grafts supplemented with screw or wire fixation, especially in the absence of bone necrosis. Although vascularized grafts require high demanding surgical skills, they improve the odds of union in the setting of osteonecrosis. Key words: Carpal joints; Scaphoid bone; Fractures, ununited; Surgical treatment
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
