A case report on non-union in scaphoid fracture using bone graft

Abstract

Scaphoid is the most common carpal bone to get fractured in the wrist. Scaphoid fracture is very challenging to treat since it has a tenuous vascular pattern.Non unions and degenerative arthritis can occur due to diagnostic delay and treatment inadequacy. Surgical management with newer techniques have emerged for the treatment of non-union in scaphoid fractures. Despite the advancement of the newly developed fixation techniques, including open and percutaneous fixation, the non-union rate of scaphoid remain as high as 10% after surgical management. Scaphoid non union can present with or without avascular necrosis of proximal pole, and may show a humpback deformity on the radiograph. Surgical treatment is directed at correcting the deformity with open reduction with internal fixation with bone grafting.