TechniquesTreatment of Proximal Pole Scaphoid Fracture Nonunions With Intramedullary Cancellous Autograft and Cannulated Headless Compression ScrewTrupia, Evan P. MD; Strauch, Robert J. MDAuthor Information New York Presbyterian Hospital, Columbia University Medical Center, New York, NY Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding. Address correspondence and reprint requests to Evan P. Trupia, MD, New York Presbyterian Hospital, Columbia University Medical Center, 622 W. 168th Street, PH-11, 1102, New York, NY 10032. E-mail: firstname.lastname@example.org. Techniques in Hand & Upper Extremity Surgery: June 2019 - Volume 23 - Issue 2 - p 88-93 doi: 10.1097/BTH.0000000000000229 Buy Metrics Abstract Management of proximal pole scaphoid nonunion remains a challenging problem. Multiple surgical techniques have been described, although no treatment has proven superior. Recent studies have questioned the need for vascularized bone grafting, even in in the setting of avascular proximal poles. We present a relatively simple technique of intramedullary autogeneous cancellous bone grafting that does not disturb the intact cortical shell of the nonunion, which has so far provided gratifying clinical results. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.