title: Autologous osteoarticular transfer from the proximal tibiofibular joint to the scaphoid and lunate facets in the treatment of severe distal radial fractures: a report of two cases.
abstract: OBJECTIVE
  This study was conducted to determine the appropriateness of using the articular cartilaginous surfaces of the proximal tibiofibular joint to resurface damaged distal radial articular surfaces and to assess the clinical results in the first 2 patients.
  
  
  METHODS
  Cadaveric specimens of the facets of the proximal tibiofibular joints and distal radius were sized and compared. Two patients underwent transfer of a fibular facet.
  
  
  RESULTS
  The surface area of each of the proximal tibiofibular facets were larger than either the scaphoid or lunate facets of the distal radius. The 2 patients had excellent clinical results with minimal donor morbidity.
  
  
  CONCLUSIONS
  Use of the articular surfaces from the proximal tibiofibular joint to replace damaged distal radial facets is possible and can be accomplished with excellent results and minimal morbidity.
authors.affiliation: Division of Orthopaedic Surgery, University of Ottawa, Ottawa, Ontario, Canada.
authors.forename: Ramin
authors.initials: R
authors.lastname: Mehin
authors.forename: A Alan
authors.initials: AA
authors.lastname: Giachino
authors.forename: David
authors.initials: D
authors.lastname: Backman
authors.forename: Jenny
authors.initials: J
authors.lastname: Grabowski
authors.forename: Anna
authors.initials: A
authors.lastname: Fazekas
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D002102:Cadaver; D002358:Cartilage, Articular / Q000637:transplantation*; D005260:Female; D005360:Fibula; D006801:Humans; D008297:Male; D008875:Middle Aged; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D013977:Tibia; D014057:Tomography, X-Ray Computed; D014182:Transplantation, Autologous