Revision scaphoid nonunion with hardware removal bone graft and two Herbert screws

Description: Despite improvements in hardware and technique, nonunion may occur following open reduction and internal fixation of scaphoid fractures. Nonunion is most often related to preoperative (vascular), intraoperative (technical), or postoperative (compliance) issues. Untreated scaphoid nonunion is reported to result in a high incidence of posttraumatic arthritis ("SNAC Wrist"). Revision surgery is indicated and worthwhile if the etiology of nonunion is identified and addressed.