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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.<\/jats:p>\n                  <jats:p>Level of evidence: IV<\/jats:p>","DOI":"10.1177\/1753193420922786","type":"journal-article","created":{"date-parts":[[2020,5,13]],"date-time":"2020-05-13T00:11:18Z","timestamp":1589328678000},"page":"693-699","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Costo-osteochondral graft (rib graft) reconstruction of the irreparable proximal scaphoid"],"prefix":"10.1177","volume":"45","author":[{"given":"Nadja A.","family":"Zechmann-Mueller","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery and Hand Surgery, Middlemore Hospital, Otahuhu, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shirley","family":"Collocott","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Hand Surgery, Middlemore Hospital, Otahuhu, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"Heiss-Dunlop","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Hand Surgery, Middlemore Hospital, Otahuhu, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,5,12]]},"reference":[{"key":"bibr100-1753193420922786","doi-asserted-by":"crossref","unstructured":"Berkhout MJ, Bachour Y, Zheng KH, Mullender MG, Strackee SD, Ritt MJ. 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