title: Arthroplasty of the interphalangeal joint of the great toe using costal osteochondral grafting.
abstract: 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.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Osaka City University Graduate School of Medicine, Asahi 1-4-3, Abeno, Osaka 545-8585, Japan.
authors.forename: Hisashi
authors.initials: H
authors.lastname: Motomura
authors.forename: Kensuke
authors.initials: K
authors.lastname: Nose
authors.forename: Masao
authors.initials: M
authors.lastname: Fujiwara
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Ozawa
authors.forename: Teruichi
authors.initials: T
authors.lastname: Harada
authors.forename: Michinari
authors.initials: M
authors.lastname: Muraoka
mesh_terms: 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