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We aimed examine the union rate and medical outcome of autologous bone graft versus pronator quadratus vascularized pedicled muscle tissue flap in treatment of scaphoid nonunion. Forty patients with an analysis of scaphoid nonunion who underwent unilateral pseudarthrosis surgery were included in this study. Particularly, the scaphoid nonunion was unilateral, as well as the contralateral wrist was asymptomatic with typical purpose, per the physical and radiological examinations. Prona