The scaphoid is a carpal bones that does not consolidate easily.
When a scaphoid fracture does not fuse after several months is called a nonunion.
Nonunion of the scaphoid always progresses to a secondary carpal instability and in long-term osteoarthritis.
Treatment of nonunion of the scaphoid is always surgical.
Several surgical techniques are possible to consolidate the scaphoid:
- simply screwing
- Non-vascularized bone graft
- Vascularized bone graft