Résumé
The aim of this work was to determine the results of long-term follow up of surgical treatment of non-united fracture of the scaphoid using volar cortical bone peg autograft, harvested from the ipsilateral lower fourth radius. Material of this work included 57 cases. Fracture of the waist of scaphoid was encountered in 45 cases [78.95%]. Fracture of the proximal pole was present in 3 cases [5.26%]. Non-united scahoid with fragmentation of proximal pole and excessive arthritic changes were excluded from this study. Cases were evaluated for an average of 21 months after operation then follow up every year for long term study. The final end results according to Cooney score were 19 excellent [33.34%], 17 good, [29.82%], 13 fair [22.80%], and 8 poor, [14.04%]. Radiologically 46 cases showed complete bone union, while signs of non union were still present in 11 cases [19.30%], 6 cases [10.53%] of which the fracture was present in the proximal pole. Objectively, range of movement and grip strength were improved with union at the fracture site. This technique is a simple, cost effective and good option for management of non-united scaphoid fracture especially for waist fracture. All cases persistent with non-union developed arthritic changes of the wrist