Non-union of the scaphoid: early and late management.
The natural history of the fractured scaphoid and its non-union are incompletely understood. Papers are not easily compared without a system of classification. Avascular necrosis is rarely a problem. Unstable fractures should be fixed early to avoid established non-union. Treatment of non-union by graft alone requires prolonged immobilization. Non-union is well treated by grafting and internal fixation. Carpal collapse should be sought and corrected.
Proctor
M T
MT
Royal London Hospital, London, UK.
D001178:Arthroplasty; D016025:Bone Transplantation; D002348:Carpal Bones / Q000033:anatomy & histology / Q000293:injuries*; D005593:Fracture Fixation, Internal / Q000379:methods; D005599:Fractures, Ununited / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D010020:Osteonecrosis / Q000209:etiology; D014955:Wrist Joint / Q000033:anatomy & histology / Q000601:surgery*