Healing scaphoid non-union using Ilizarov method

The scaphoid is the most commonly fractured bone among the carpal bones in orthopedic practice. While many fractures heal successfully, some develop nonunion despite appropriate treatment, leading to complications if left untreated. Displaced scaphoid nonunions (SNUs) should be reduced and fixed to prevent further degenerative changes, even when asymptomatic. Various treatments, including percutaneous fixation with a k-wire or screw and open reduction with or without bone grafting, have been described, but no single method has emerged as the gold standard. This study examines the use of the Ilizarov method in treating scaphoid nonunion in 12 patients at the Bari-Ilizarov Ortho-paedic Centre from 1990 to 2024. The Ilizarov technique, involving a three -stage process of distraction, compression, and immobilization, was applied. The outcomes, including healing time, complications, and wrist function, were evaluated. Results showed significant improvements in bone healing, pain reduction, and wrist function, though range of motion did not significantly change. The Ilizarov method proves to be an effective treatment for scaphoid nonunion, especially in cases without carpal collapse or avascular necrosis, and further research is needed to compare it with other treatment options.