Arthroplasty of the interphalangeal joint of the great toe using costal osteochondral grafting.
Although many reports have been published on the usefulness of costal cartilage grafting in the reconstruction of interphalangeal joints of fingers, there are only a few published reports on the reconstruction of interphalangeal joints of toes. We describe a 21-year-old woman with a tissue defect of the dorsum pedis and a partial defect of the interphalangeal joint of the great toe caused by a motor-vehicle accident. We attempted arthroplasty using a free latissimus dorsi myocutaneous flap and a costal osteochondral graft. The grafted rib and cartilage survived, allowing the patient to resume functional ambulation for day-to-day activities. Arthroplasty using costal osteochondral grafts seems to be an effective means of reconstructing the interphalangeal joints of toes.
Motomura
Hisashi
H
Department of Plastic and Reconstructive Surgery, Osaka City University Graduate School of Medicine, Asahi 1-4-3, Abeno, Osaka 545-8585, Japan.
Nose
Kensuke
K
Fujiwara
Masao
M
Ozawa
Toshiyuki
T
Harada
Teruichi
T
Muraoka
Michinari
M
D000328:Adult; D001178:Arthroplasty / Q000379:methods*; D002356:Cartilage / Q000637:transplantation*; D005260:Female; D006214:Hallux / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D006801:Humans; D012272:Ribs / Q000637:transplantation; D014033:Toe Joint / Q000293:injuries / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014182:Transplantation, Autologous; D016896:Treatment Outcome