title: Two-stage arthroplasty with joint distraction and costal osteochondral grafting for ankylosis of a metacarpophalangeal joint: nine years' follow-up.
abstract: After ankylosis of a finger has occurred, it is often difficult to restore joint mobility. We report a two-stage arthroplasty procedure for correcting ankylosis of the metacarpophalangeal joint, which involved joint distraction to extend the soft tissues, followed by costal osteochondral autografting. After 9 years of follow-up, the results are acceptable.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan. masaofuj@mth.biglobe.ne.jp
authors.forename: Masao
authors.initials: M
authors.lastname: Fujiwara
authors.forename: Motohisa
authors.initials: M
authors.lastname: Kawakatsu
authors.forename: Hidekazu
authors.initials: H
authors.lastname: Fukamizu
mesh_terms: D000328:Adult; D000844:Ankylosis / Q000000981:diagnostic imaging / Q000601:surgery*; D001178:Arthroplasty / Q000379:methods*; D016025:Bone Transplantation / Q000379:methods; D002358:Cartilage, Articular / Q000637:transplantation; D016267:External Fixators; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008662:Metacarpophalangeal Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011859:Radiography; D016059:Range of Motion, Articular