The guiding principle for operative treatment of scaphoid fractures is an anatomic reduction and compression across the fracture. There...
Scaphoid Fracture Fixation
Evolution of Scaphoid Fracture Fixation

Operative fixation of scaphoid fracture relies on compression across the fracture to stimulate healing. Depending on the nature of the fracture, the surgeon may make a surgical incision and dissection on either the front or back of the hand or possibly do the surgery through a hole just large enough for the screw, called percutaneous screw fixation. After x-rays are taken to ensure proper placement of hardware, the wound will be closed and the hand will likely be placed in a thumb spica splint, designed to immobilize the thumb and scaphoid while the bone heals.