Treatment of Scaphoid Nonunion with Iliac Crest Bone Graft and Kirschner Wire Fixation - A Case Report

Scaphoid nonunion can occur in both non-operative and operatively treated scaphoid fractures. Nonunion is influenced by gross displacement, impaired blood supply. Without treatment, this can lead to carpal collapse and degenerative arthritic change and patients may experience both pain and functional loss in the early and late phases of progression. An operative technique with a high success rate for union is important. This paper describes a technique for treatment of scaphoid nonunion with K-wire fixation and iliac crest cancellous bone graft. After taking informed consent from patient for this study, we report a case of 11 month old scaphoid non-union in a 22 year old male treated with iliac crest cancellous bone graft (ICBG) and k wire fixation.