IPSILATERAL OSTEOCHONDRAL GRAFTING FOR FINGER JOINT REPAIR

被引:48
作者
ISHIDA, O
IKUTA, Y
KUROKI, H
机构
[1] Department of Orthopaedic Surgery, Hiroshima University School of Medicine, Hiroshima
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1994年 / 19A卷 / 03期
关键词
D O I
10.1016/0363-5023(94)90048-5
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
A method for reconstructing articular osteochondral defects of the joint surfaces of the fingers is described. An osteochondral graft was harvested from the distal or proximal side of the second or third carpometacarpal joint of the ipsilateral hand. The graft was subsequently transplanted to the site of the defect in the proximal or distal interphalangeal joint. Ten cases with a follow-up period of more than 2 years were reviewed. The mean angular deformity decreased from 33 degrees to 4 degrees, and the mean active range of motion increased from 22 degrees to 38 degrees. Plain x-ray films revealed good joint congruity, and no donor site morbidity was appreciated. This treatment approach may be particularly useful in children.
引用
收藏
页码:372 / 377
页数:6
相关论文
共 9 条
[1]  
Ikuta, Umeda, Shimamura, Higaki, Daisaku, Tsuge, Free osteochondral graft to fill up the articular defect of the finger joints, J Jpn Soc Hand Surg, 2, pp. 505-508, (1985)
[2]  
Ishida, Tsai, Free vascularized whole joint transfer in children, Microsurgery, 12, pp. 196-206, (1991)
[3]  
Ellis, Hanna, Tsai, Vascularized single joint transfer to the hand, J Hand Surg, 16 A, pp. 160-168, (1991)
[4]  
Yamashita, Sakakida, Suzu, Takai, The transplantation of an autogenic osteochondral fragment for osteochondritis dissecans of the knee, Clin Orthop, 201, pp. 43-50, (1985)
[5]  
Kettelcamp, Experimental autologous joint transplantation, Clin Orthop, 87, pp. 138-145, (1972)
[6]  
Czitrom, Keating, Gross, The viability of articular cartilage in fresh osteochondral allografts after clinical transplantation, J Bone Joint Surg, 72 A, pp. 574-581, (1990)
[7]  
Gross, Use of fresh osteochondral allografts to practice traumatic joint defects, Allografts in orthopaedic practice, pp. 67-82, (1992)
[8]  
Kandel, Gross, Ganel, McDermott, Langer, Pritzker, Histopathology of failed osteoarticular allografts, Clin Orthop, 197, pp. 101-103, (1985)
[9]  
Skoog, Johansson, The formation of articular cartilage from free perichondrial grafts, Plast Reconstr Surg, 57, pp. 1-6, (1976)