Should i have surgery to correct scaphoid nonunion surgery screw placement or remove screw entirely. had a schaphoid non union surgery 8/1/11. a week after the surgery (placement of a screw and bone graft) my surgeon did an xray and noticed that the scre

If : If the screww is protruding and you are moving, you could have pain from that. If the screw has not allowed the fracture to heal fully, you could have pain from that. The fracture may be healed and the screw may appear to be protruding on x-ray, even though it is in fact in the bone depending upon the x-ray projection, and you can still have pain because, you had surgery, you are stiff, you have scar tissue or any of a number of reasons. Further imaging studies may be indicated, to assess healing, screw placement and the difficult question of protrusion. If you are healed why change the screw? I thinking this situation one needs to asl their doctors that you have seen more detailed questions and be more certain as to the cause of r pain. These answers are of course framed to be very general. It is difficult to comment on very specific details without seeing x-rays and examining someone.

Sorry : Sorry you're going through all that. Especially since one of the advantages of the screw should be earlier return to function. If everyone agrees that the screw is protruding then you need to be cautious about leaving it as is because it may cause damage to the cartilage of the joint. Cartilage damage is hard to undo. "let it heal for 3 more months" makes little sense as it is already 4 months after the surgery so the bone should be healed, especially with graft. Good luck!