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Updated: Dec 21, 2025
Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
Published on: June 6, 2025
Costo-osteochondral graft (rib graft) reconstruction of the irreparable proximal scaphoid
Nadja A Zechmann-Mueller1, Shirley Collocott1, Wolfgang Heiss-Dunlop1
1Department of Plastic Surgery and Hand Surgery, Middlemore Hospital, Otahuhu, Auckland, New Zealand.
Abstract:
We present our series of 21 cases in which proximal scaphoid nonunions with fragmentation were treated with costo-osteochondral graft reconstruction (rib graft). The median follow-up was 29 months. Union was achieved in all 21 patients. There were significant improvements in subjective and objective outcome measurements and carpal alignment was well maintained in all patients, as shown by normal postoperative capitolunate angle measurements. No donor site complications were encountered. Rib graft reconstruction offers a reliable and straightforward option for the difficult problem of the irreparable proximal pole of the scaphoid.Level of evidence: IV.
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