Multiple osteochondral autograft transfer to the proximal interphalangeal joint: case report.
A 17-year-old boy who played baseball presented with swelling, pain, and crepitation in the right ring finger proximal interphalangeal joint after a remote trauma. Multiple osteochondral defects were identified on opposing articular surfaces. Cylindrical osteochondral grafts of 2.0, 2.5, and 5.0 mm were applied to the defects and congruency was restored. We confirmed vascularity of the grafts by magnetic resonance. The boy returned to full sports activities. No signs of arthritis were seen at 4-year follow-up radiographs.
Kleinert Kutz Hand Care Center, CM Kleinert Institute for Hand and Microsurgery, Department of Surgery, Division of Hand Surgery, University of Louisville, Louisville, KY 40202, USA. tozyurekoglu@kkahand.com
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Ozyurekoglu
D000293:Adolescent; D016025:Bone Transplantation / Q000379:methods*; D005384:Finger Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D016059:Range of Motion, Articular; D013165:Splints; D014182:Transplantation, Autologous