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Operative management of the scaphoid fracture is primarily determined by the fracture location and amount of displacement. There is increased momentum for dual screw fixation constructs, intended to provide greater stability and reduce the risk of nonunion. Our current practice is to utilize two screws without graft as a first-line treatment for scaphoid nonunion with or without humpback deformity and cyst formation. This review will discuss the management of acute scaphoid fractures and the treatment of nonunion.<\/jats:p>","DOI":"10.1177\/17531934231165419","type":"journal-article","created":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T19:05:29Z","timestamp":1694631929000},"page":"4S-10S","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":35,"title":["Scaphoid fracture and nonunion: new directions"],"prefix":"10.1177","volume":"48","author":[{"given":"Robert R. 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