Distal Radius Joint Surface Reconstruction Using a Pedicle Pisiform Osteochondral Transfer.
Treatment of a large articular cartilage defect in the distal radius poses a significant challenge to hand surgeons. To reduce the development of secondary degenerative arthritis, restoration of the articular surface is preferable. Pedicle pisiform transfer has been reported as a useful treatment option for Kienböck's disease. We describe a surgical technique involving vascularized pisiform transfer for large cartilage defects after intra-articular distal radius fractures and highlight the vascular supply of the pisiform.
Department of Hand Surgery, Nagoya University Graduate School of Medicine, Showa-ku, Nagoya, Japan. Electronic address: hisao@med.nagoya-u.ac.jp.
Hisao
H
Ishii
Department of Hand Surgery, Nagoya University Graduate School of Medicine, Showa-ku, Nagoya, Japan; Hand and Microsurgery Center, Anjo Kosei Hospital, Anjo-cho, Anjo, Japan.
Masahiro
M
Tatebe
Department of Hand Surgery, Nagoya University Graduate School of Medicine, Showa-ku, Nagoya, Japan.
Hitoshi
H
Hirata
D000328:Adult; D001860:Bone Plates; D001863:Bone Screws; D016025:Bone Transplantation / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D018460:Fractures, Comminuted / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D057072:Intra-Articular Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D010147:Pain Measurement; D051220:Pisiform Bone / Q000637:transplantation*; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D020127:Recovery of Function; D016896:Treatment Outcome; D014954:Wrist Injuries / Q000000981:diagnostic imaging / Q000601:surgery*
Distal radius fracture; osteochondral graft; pedicle; pisiform; reconstruction