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Osteochondral Autograft Transplantation for Hand and Wrist Articular Problems.
Miller, Andrew J; Bishop, Allen T; Shin, Alexander Y.
Afiliação
  • Miller AJ; Philadelphia Hand to Shoulder Center Thomas Jefferson University Hospitals Philadelphia, PA.
  • Bishop AT; Department of Orthopedic Surgery, Division of Hand Surgery, Mayo Clinic, Rochester, MN.
  • Shin AY; Department of Orthopedic Surgery, Division of Hand Surgery, Mayo Clinic, Rochester, MN.
Tech Hand Up Extrem Surg ; 24(4): 166-174, 2020 Dec.
Article em En | MEDLINE | ID: mdl-32187174
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.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Osteonecrose / Articulação do Punho / Cartilagem / Ossos da Mão / Fêmur Tipo de estudo: Etiology_studies Limite: Adolescent / Female / Humans / Male Idioma: En Revista: Tech Hand Up Extrem Surg Ano de publicação: 2020 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Osteonecrose / Articulação do Punho / Cartilagem / Ossos da Mão / Fêmur Tipo de estudo: Etiology_studies Limite: Adolescent / Female / Humans / Male Idioma: En Revista: Tech Hand Up Extrem Surg Ano de publicação: 2020 Tipo de documento: Article País de publicação: Estados Unidos