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The scaphoid is the most frequently fractured carpal bone. Complications of delayed union, nonunion, and osteonecrosis of the proximal pole are well documented in the orthopedic literature.[1] Overall complication rates of surgical fixation of scaphoid fractures vary widely from 0 to 29%, with most studies reporting very low complication rates. One recent report of Bushnell et al.[2] found a major complication (nonunion, misplaced screws, and proximal pole fracture) rate of 21% and a minor complication (intraoperative guidewire breakages) rate of 8%.[2]

joint diseases and related surgery

Can headless screw used in fixation of the scaphoid proximal pole fracture be broken after wrist trauma? An unreported complication of scaphoid surgery