Osteochondral Autograft Transplantation for Hand and Wrist Articular Problems.
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.
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