title: Osteochondral Autograft Transplantation Surgery for Metacarpal Head Defects.
abstract: Post-traumatic osteonecrosis of the metacarpal head is a challenging problem, particularly in younger patients in whom arthroplasty may not be a durable option. Although several osteochondral reconstructive options have been proposed, some are associated with considerable donor site morbidity and/or require the use of internal fixation. We present an application of osteochondral autograft transplantation surgery as a treatment option for focal metacarpal head lesions. An osteochondral plug from the non-weight-bearing articular surface of the knee is transferred and press-fit to resurface a focal metacarpal head defect. The technical pearls and pitfalls are reviewed, and an illustrative case is presented.
authors.affiliation: MedStar Georgetown Orthopaedic Institute, Olney, MD.
authors.forename: Alison
authors.initials: A
authors.lastname: Kitay
authors.affiliation: Department of Orthopaedic Surgery, Boston Children's Hospital, Boston, MA.
authors.forename: Peter M
authors.initials: PM
authors.lastname: Waters
authors.affiliation: Department of Orthopaedic Surgery, Boston Children's Hospital, Boston, MA. Electronic address: Donald.bae@childrens.harvard.edu.
authors.forename: Donald S
authors.initials: DS
authors.lastname: Bae
mesh_terms: D016025:Bone Transplantation / Q000379:methods*; D005269:Femur / Q000637:transplantation*; D006801:Humans; D050279:Metacarpal Bones / Q000473:pathology / Q000601:surgery*; D010020:Osteonecrosis / Q000473:pathology / Q000601:surgery*; D014182:Transplantation, Autologous
keywords: Dieterich disease; OATS; Osteochondral autograft; avascular necrosis; metacarpal head