This year annual conference of ISSH was held at puri on 12-15 September 2019. I was invited to deliver 2 invited lectures in this conference. First lecture was on percutanous fixation of fracture scaphoid point of discussion in this talk were as it is a minimally invasive surgery it leaves minimal scar and early union resulting in early return to work.

second talk was on vascularized bone grafting in non-union scaphoid and keinbocks disease. Take home message of this was in established nonunion of scaphoid after vascularized grafting union was faster and in avascular necrosis of proximal fragment union may occur at fractures sites though radiologically fragment may still show sign of avascularity which may take long time to resolve.

vascularized bone grafting in case if keinbocks disease in early cases may maintain height and architecture of lunate bone.