Arthroscopic Transplantation of Osteochondral Autograft for Treatment of Cartilage Defects in the Wrist.

Hand Clin

Division of Hand and Microsurgery, Department of Orthopaedics and Traumatology, Prince of Wales Hospital, Chinese University of Hong Kong, The Club Lusitano, 16/F, 16 Ice House Street, Central, Hong Kong SAR.

Published: November 2017

AI Article Synopsis

  • Focal chondral lesions can cause chronic wrist pain, and the authors introduced a new treatment using arthroscopic transplantation of osteochondral autografts from the femur to the wrist.
  • In a study of 4 patients, grafts were successfully incorporated within 3 to 4 months post-surgery and all patients reported improved wrist function and no pain on average 70.5 months later.
  • Follow-up examinations showed preserved cartilage in 3 patients, high levels of patient satisfaction, and no complications from the procedure.

Article Abstract

Focal chondral lesions are a common cause of chronic wrist pain, with no ideal treatment. The authors developed arthroscopic transplantation of osteochondral autograft from lateral femoral condyle to distal radius with satisfactory outcome in 4 consecutive patients between December 2006 and December 2010. In all cases, graft incorporation was completed by 3 months to 4 months postoperation. All patients showed improvement in wrist function with no pain at follow-up at an average of 70.5 months (range 24-116 months). Second-look arthroscopy in 3 patients confirmed the preservation of normal articular cartilage. Patient satisfaction was high with no complications.

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Source
http://dx.doi.org/10.1016/j.hcl.2017.07.016DOI Listing

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