Scaphoid Nonunion Arthroscopic-Assisted Reduction and Percutaneous Fixation With Distal Radius Autologous Bone Graft

Scaphoid fractures are common and often progress to nonunion due to the unique vascularity. When nonunion occurs, patients are at risk of developing carpal collapse and arthritis if not managed appropriately with traditional surgical management. However, open surgical management puts the fragile vascular supply and extrinsic soft tissue stabilizers of the carpus at risk, compromising healing and clinical outcomes. Arthroscopy allows for the preservation of these structures and improved visualization of fracture debridement, reduction, and alignment. We describe an arthroscopic-assisted reduction and percutaneous fixation of scaphoid nonunion with distal radius bone graft.