Scaphoid Fracture and Non-Union Surgery
Overview
The scaphoid is a small wrist bone that plays a major role in wrist motion and stability. Scaphoid fractures can be difficult to heal because of the bone's blood supply and the mechanical forces across the wrist. Missed or unhealed fractures can progress to non-union and arthritis.
Surgery aims to stabilise the scaphoid, promote healing and protect long-term wrist function.
Who may benefit from surgery?
Surgery may be recommended for displaced fractures, unstable fracture patterns, proximal pole fractures, athletes or workers needing reliable healing, delayed union or established non-union.
What does the procedure involve?
Fresh fractures may be treated with screw fixation. Non-unions often require bone grafting, which may be non-vascularised or vascularised depending on blood supply, deformity and previous surgery. The goal is to restore alignment and achieve union.
Recovery after scaphoid surgery
The wrist is protected while the bone heals. Healing can be slow and is often monitored with x-rays or CT. Return to loading depends on union and strength recovery.
Rehabilitation protocol
You will receive a scaphoid fixation or non-union protocol outlining immobilisation, imaging follow-up and return to activity.
FAQs
Why do scaphoid fractures sometimes not heal?
The scaphoid has a vulnerable blood supply and is exposed to high wrist forces.
How is non-union diagnosed?
X-rays, CT and sometimes MRI are used to assess healing, alignment and blood supply.
Will I need bone graft?
Bone graft is commonly used for non-union, but not always for acute fractures.
How long will I be immobilised?
This depends on fracture location, fixation and healing progress.
What happens if a scaphoid non-union is untreated?
It can lead to progressive wrist arthritis and loss of function.
Book or Refer Today
For scaphoid fracture, delayed healing or non-union, book a consultation to review imaging and treatment options.
Hip
Reconstructive Orthopaedics Melbourne (ROM)
We restore mobility, reduce pain, and improve quality of life — through reconstructive orthopaedic surgery driven by evidence and advanced biomechanics.