Scaphoid non union

34 year old male suffers a fall and fractures his wrist ,X ray reveals that he has undisplaced scaphoid bone fracture . A cast was applied , but fracture refused to heal and went into nonunion. So that gentlemen was referred to us . X ray showing non union Scahoid vascularised bone graft in bone gap with head less screw in place A P view Lateral view Artery marked in blue and bone graft being elevated bone graft with pedicle fully elevated dissection of Scaphoid bone non union site Scaphoid non union is troublesome condition it results in pain and weakness. Though some patients live well with it but majority seek treatment . I usually do vascularized bone grafting in Scaphoid non union . We usually take outer table of radius based on 1,2 intercompartmental supraretinacular branch of radial artery it gives adequate chunk of bone ,just good enough to fit inside non union site. Scaphoid is dissected and non union ...