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Eleven patients with long-standing non-union were treated with vascularized pedicle bone grafting and supplementary corticocancellous grafting. Five had screw fixation and six were fixed with K-wires. The average age of the patients was 28 years, average duration of the non-union was 39 months and mean radiological follow-up was 32 months. There were no significant skeletal complications, although two patients developed neuromata. At review, only six of the 11 non-unions were united. Whilst this is a difficult clinical problem and achieving union is a formidable challenge, we believe that there is a role for such extensive surgery in order to achieve good postoperative function.<\/jats:p>","DOI":"10.1016\/j.jhsb.2005.09.012","type":"journal-article","created":{"date-parts":[[2005,11,3]],"date-time":"2005-11-03T08:52:41Z","timestamp":1131007961000},"page":"185-190","source":"Crossref","is-referenced-by-count":42,"title":["Scaphoid Non-Union: The Role of Vascularized Grafting In Recalcitrant Non-Unions of the Scaphoid"],"prefix":"10.1177","volume":"31","author":[{"given":"A. 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