[Scaphoid surgery]. / Skaphoidchirurgie.

ABSTRACT

Fracture of the scaphoid is the second most common fracture of the wrist. It requires a precise diagnosis and an individual therapy tailored to the patient. Computed tomography has assumed the central role in diagnostics and is obligatory to perform both verification and planning of treatment. Stable fractures can be treated conservatively while unstable fractures should be surgically stabilized. For this procedure different countersink compression screws are available. The fracture of the proximal pole must be considered separately because it is associated a very high rate of nonunion. No and incorrect treatment of fresh scaphoid fractures are the most common reasons for developing scaphoid nonunion. Depending on the location and perfusion, different surgical procedures including transplantation of avascular or vascularized bone grafts can be performed for treatment of scaphoid nonunion.