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Abstract In this thesis we have described the anatomy of the scaphoid with special reference to blood supply, mechanism of injury and clinical pictures. The various forms of treatment for fractures of the scaphoid(carpal navicular) have been briefly discussed. 24 cases of non-united fractures of scaphoid were reviewed;Fracture of the dominant hand was the commonest. The waist of the scaphoid was the site of fracture in most of them. Different lines of treatment were performed. Wedge grafting showed 100 % good results(accepted). Proximal row carpectomy showed 60 % fair results, 20 % good results and 20 % poor results. (80 % not acceptable). Grafting and screw fixation was done in one patient who showed a good res~lt(accepted). Excision of proximal pole was done in 2 patients with poor results. Scapho-lunate fusion was done in one patient with a poor result. 7 patients refused to be operated upon. from this study the following conclusions were reached: 1- Most of volar wedge grafting for non-union of scaphoid fractures gave the best results. 2- Proximal row carpec~omy gave mostly unacceptable results. |