Osteochondral Autograft Transplantation for Hand and Wrist Articular Problems.
Journal
Techniques in hand & upper extremity surgery
ISSN: 1531-6572
Titre abrégé: Tech Hand Up Extrem Surg
Pays: United States
ID NLM: 9704676
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
pubmed:
19
3
2020
medline:
30
9
2021
entrez:
19
3
2020
Statut:
ppublish
Résumé
Management of hand and wrist avascular necrosis with osteochondral fragmentation or focal arthritis can be a challenging problem with a variety procedures described for its treatment. Osteochondral autograft transplantation systems have been utilized in various focal defects of the knee, ankle, elbow, and wrist. The same principle for the treatment of focal defects of the proximal scaphoid, proximal capitate as well as metacarpal head as an alternative treatment is described. The main indication for this treatment is to address focal or partial osteochondral defects where the size of the defect is smaller than the isthmus of the involved bone to accommodate a cylindrical osteochondral graft that can be press fit. Larger and complete defects are contraindications to this treatment. We discuss the surgical technique as well as its main indications and expected outcomes.
Identifiants
pubmed: 32187174
doi: 10.1097/BTH.0000000000000284
pii: 00130911-202012000-00005
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
166-174Références
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