Costo-osteochondral graft (rib graft) reconstruction of the irreparable proximal scaphoid.

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.

Sonographic study of repair, gapping and tendon bowstringing after primary flexor digitorum profundus repair in zone 2.

Unlabelled: We report sonographic findings with clinical outcomes after zone 2 flexor digitorum profundus tendon repairs in ten fingers. The tendons underwent a six-strand M-Tang core repair, no circumferential suture, and partial or complete division of the pulleys. Over 12 months after surgery and using ultrasound, we found no gapping at the repair site during finger motion.