Treatment of Scaphoid Non-Union by Iliac Cancellous Bone

This study investigated the outcomes of headless compression screw fixation and cancellous iliac crest bone graft chips procedure in the management of scaphoid waist nonunion. The method was based on interventional research carried out in the Orthopedics operating room for a period from July 2018 to July 2020. It included 26 patients presented with symptomatic scaphoid non-union confirmed by radiograph of the wrist and scheduled for surgical management by a non-structural autologous cancellous bone graft from the iliac crest and headless screw fixation. Patients were followed up at every four weeks’ interval for six months and then three months for the total duration of 12 months. All parameters of the Modified Mayo Wrist Score were shown statistically significant at postoperative improvement except for grip strength. Total Modified Mayo Wrist Score showed that 61.5% of study patients were graded as a fair result, and no one reported excellent level. Six months postoperatively, 23.1% of patients reported excellent results, and 65.4% showed a good level.