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.
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.
Mehin
Ramin
R
Division of Orthopaedic Surgery, University of Ottawa, Ottawa, Ontario, Canada.
Giachino
A Alan
AA
Backman
David
D
Grabowski
Jenny
J
Fazekas
Anna
A
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