The use of osteochondral flaps in the treatment of carpal disorders.

MedStar author(s):
Citation: Journal of Hand Surgery: European Volume. :1753193417739545, 2017 Jan 01PMID: 29165016Institution: Curtis National Hand CenterForm of publication: Journal ArticleMedline article type(s): Journal ArticleYear: 2017ISSN:
  • 0266-7681
Name of journal: The Journal of hand surgery, European volumeAbstract: Vascularized osteochondral flaps have been described for use in reconstruction of the wrist, providing the benefits of osteochondral grafts in addition to the benefit of osseous and subchondral perfusion via the microvascular pedicle. Various harvest sites have been described including the medial and lateral femoral trochlea and the proximal third metatarsal. The reconstructed surfaces described include the cartilage surfaces of the scaphoid, lunate, capitate and radius. The ability to transfer analogous osteochondral surfaces poses the possibility for new motion-preserving alternatives for difficult articular problems previously treated with salvage procedures. A description of the procedures and reported outcomes are provided, as well as a discussion of the role of these procedures in the future of wrist surgery.All authors: Burger HK, Higgins JPFiscal year: FY2017Digital Object Identifier: Date added to catalog: 2017-12-05
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Journal Article MedStar Authors Catalog Article 29165016 Available 29165016

Vascularized osteochondral flaps have been described for use in reconstruction of the wrist, providing the benefits of osteochondral grafts in addition to the benefit of osseous and subchondral perfusion via the microvascular pedicle. Various harvest sites have been described including the medial and lateral femoral trochlea and the proximal third metatarsal. The reconstructed surfaces described include the cartilage surfaces of the scaphoid, lunate, capitate and radius. The ability to transfer analogous osteochondral surfaces poses the possibility for new motion-preserving alternatives for difficult articular problems previously treated with salvage procedures. A description of the procedures and reported outcomes are provided, as well as a discussion of the role of these procedures in the future of wrist surgery.

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