title: [Costochondral autograft as a salvage procedure after failed trapeziectomy in trapeziometacarpal osteoarthritis].
abstract: We report the case of a 48-year-old woman who underwent a revision procedure to insert a costochondral autograft after failed trapeziectomy-ligamentoplasty. Clinical outcome was assessed at 3, 6, 12, and 24 months and compared with the preoperative situation. Pain (VAS), force (key pinch and grasp), writing capacity, use of an ignition key, and range of motion of the trapeziometacarpal joint in abduction and opposition were noted. The VAS demonstrated improvement in pain and the patient was able to use an ignition key but grasp force and joint range of motion remained unchanged. There was no complication at the graft harvesting site. This technique appears to be a useful salvage method after failed trapiezectomy.
authors.affiliation: Service de Chirurgie de la Main, Hôpital de la Conception, 147 boulevard Baille, 13385 Marseille Cedex 05. david.valenti@ap-hm.fr
authors.forename: D
authors.initials: D
authors.lastname: Valenti
authors.forename: Y
authors.initials: Y
authors.lastname: Glard
authors.forename: A
authors.initials: A
authors.lastname: Gay
authors.forename: C
authors.initials: C
authors.lastname: Berwald
authors.forename: D
authors.initials: D
authors.lastname: Guinard
authors.forename: R
authors.initials: R
authors.lastname: Legré
mesh_terms: D000328:Adult; D002356:Cartilage / Q000637:transplantation; D005260:Female; D050823:Hand Joints / Q000601:surgery*; D006801:Humans; D050279:Metacarpal Bones / Q000601:surgery*; D019637:Orthopedic Procedures / Q000379:methods; D010003:Osteoarthritis / Q000601:surgery*; D012272:Ribs / Q000637:transplantation; D051222:Trapezium Bone / Q000601:surgery*