Volar inlay bone graft and K-wire fixation in stable scaphoid non-union

Stable undisplaced non-united fracture of scaphoid showed an increasedincidence of displacement and angulation with subsequent radioscaphoidarthritis over longer duration of non-union. 16 patients with stable scaphoidnon-union were treated by volar inlay graft and k-wire fixation. For clinicalassessment, the wrist score of Coony et al was applied pre and postoperatively. Bone healing was obtained in 15 out of the 16 patients. Thepostoperative wrist score was significantly improved even in the 2 patientswith satisfactory preoperative assessment. The stable ununited scaphoidfractures, even with mild or no symptoms, should be treated precisely to improvethe functional status of wrist and to decrease the incidence of radioscaphoidarthritis