The scaphoid is an important bone in the wrist proper (the carpus). It has a vulnerable blood supply and when fractured often needs surgery to ensure proper healing. I perform this often using a minimally invasive technique (4mm scar to insert a 20-26mm screw under x-ray guidance). When the scaphoid is broken and fails to heal properly it requires fixation often with bone grafting to affect a repair. Sometimes the bone graft requires micro-surgery and I perform these operations to prevent the development of severe wrist arthritis.