From the time a scaphoid fracture occurs to the successful treatment of a nonunion, months and years have often passed, and the patient frequently has reduced wrist motion, grip strength, and wrist pain. Scaphoid nonunions can be a challenge for the wrist surgeon, and operations are undertaken in several ways. Technological advancements have led surgeons to be able to do minimally invasive procedures on the wrist that were not previously attempted, sparing the soft tissue envelope from surgical trauma. Arthroscopy can be a powerful tool for diagnosis, but it has evolved over the past decades into a tool for undertaking the whole surgical procedure or parts of the procedure as hybrid wrist surgery.

The purpose of this paper is to focus on the technique of dry arthroscopic bone grafting for scaphoid nonunion, aiming to produce consistent results with high union rates.