When a previous scaphoid fracture fails to heal, the nonunion is a potential source of chronic pain in the wrist. If the nonunion forms a significant cyst operative intervention may require bone graft. The Russe technique was popularized historically before the availability of compression screws, and had the advantage of union rates in excess of 80-85%.
Although many might instinctively select a screw and cancellous graft to treat a nonunited scaphoid without associated carpal instability, the Russe technique continues to have a role for this problem. I have found satisfactory healing rates when this procedure is used for large pseudoarthroses. This technique provides an in lay bone graft, which, itself, provides stability, and may even obviate the need for a screw.
During your evaluation, I will discuss whether and why this particular option might be best for you.
