Osteochondral metatarsophalangeal autografts for traumatic articular metacarpophalangeal defects: a preliminary report

Five consecutive patients with saw injuries to the dorsal portion of the index metacarpophalangeal joint and resultant partial osteochondral defects underwent articular reconstruction using contoured metatarsophalangeal osteochondral autografts. At an average follow-up period of 33 months, all patie...

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Bibliographic Details
Published inThe Journal of hand surgery (American ed.) Vol. 18; no. 6; p. 1086
Main Authors Boulas, H J, Herren, A, Büchler, U
Format Journal Article
LanguageEnglish
Published United States 01.11.1993
Subjects
Accidents, Occupational
Adult
Bone Transplantation
Female
Hand Injuries - diagnostic imaging
Hand Injuries - surgery
Humans
Male
Metacarpophalangeal Joint - diagnostic imaging
Metacarpophalangeal Joint - injuries
Metatarsal Bones - transplantation
Metatarsophalangeal Joint - surgery
Methods
Middle Aged
Radiography
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Summary:Five consecutive patients with saw injuries to the dorsal portion of the index metacarpophalangeal joint and resultant partial osteochondral defects underwent articular reconstruction using contoured metatarsophalangeal osteochondral autografts. At an average follow-up period of 33 months, all patients achieved full metacarpophalangeal extension, with 74 degrees of flexion and grip strength equal to 86% of the contralateral hand. Discomfort was minimal, with crepitus present in one patient. X-ray films revealed joint space narrowing or articular step-off of 1 mm or less.
ISSN:0363-5023
DOI:10.1016/0363-5023(93)90407-T