Treatment of un united fracture scaphoid by the matti-russe operation

18 cases [16 males and 2 females] of established non-union of fracture scaphoid were treated. The age of the patients ranged from 17 to 40 years with a mean age 25 years. Right side affected in 14 cases, and left side in 4 cases. Dominant hand was involved in 16 patients. Time relapsed before the operation ranged from 7 months and 18 months with a mean 10 months. Volar approach was used in all cases, and the cortico-cancellous graft was taken from iliac crest in 13 cases or from volar surface of the distal radius in 5 cases. The average follow up period was 13.2 months. Cortico-cancellous inlay graft gives good results in most cases