Scaphoid Nonunion

Scaphoid nonunion refers to a spectrum of failed healing, each of which requires a tailored approach. Rigid internal fixation is key to achieving good outcomes, regardless of nonunion type. However, dorsal or volar approaches may be used depending on the fracture location. Autogenous bone grafting is used in most cases of scaphoid nonunion. Correction of deformity should be addressed during the same surgical procedure. Dysvascular nonunions are often treated with vascularized bone grafts. If traditional treatments fail, several salvage treatment options still remain.