Cancellous Bone Graft and Kirschner Wire Fixation as a Treatment for Cavitary-Type Scaphoid Nonunions Exhibiting DISI

Abstract

In this subset of patients, we believe this technique is less technically demanding than the use of either cortico-cancellous grafts or various compression screws. Our success equals or betters that of other published techniques, with all patients enjoying a full return to work, even in occupations demanding heavy labour. We believe that scaphoid union, coupled with the often difficult restoration of carpal height and intra-carpal angles, has produced very good functional outcomes in the management of these challenging cases.