Articular cartilage damage has been a longstanding challenge in hand surgery. Because of its limited ability to heal on its own and its predictable impact on bone resulting in degenerative osteoarthritis, surgical intervention is often mandated, through arthrodesis or implant arthroplasty. In this article, we revisit the perichondrial arthroplasty, a two-stage joint resurfacing technique using autologous rib perichondrium. It is indicated for posttraumatic osteoarthritic changes with or without stiffness and deviation, rheumatoid arthritis, and congenital joint malformation and/or ankylosis. This long-lasting method allows for a functional, pain-free joint that avoids both the immobility of arthrodesis and the long-term complications associated with implants.
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http://dx.doi.org/10.1097/GOX.0000000000004468 | DOI Listing |
J Med Case Rep
May 2023
Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford Children's Health, Stanford, CA, 94304-5341, USA.
Background: Pediatric athletes who undergo anterior cruciate ligament reconstruction are at risk for a growth deformity if the surgery violates the physes.
Case: A 12-year-old African American boy underwent anterior cruciate ligament reconstruction using a hamstring autograft. The procedure violated the distal femoral growth plate and the perichondrial ring of LaCroix, resulting in a distal femoral lateral physeal growth arrest.
Plast Reconstr Surg Glob Open
August 2022
Division of Plastic and Reconstructive Surgery, University of Calgary, Calgary, Alberta, Canada.
Articular cartilage damage has been a longstanding challenge in hand surgery. Because of its limited ability to heal on its own and its predictable impact on bone resulting in degenerative osteoarthritis, surgical intervention is often mandated, through arthrodesis or implant arthroplasty. In this article, we revisit the perichondrial arthroplasty, a two-stage joint resurfacing technique using autologous rib perichondrium.
View Article and Find Full Text PDFBMC Musculoskelet Disord
April 2020
Department of Surgical Sciences/Orthopedics & Hand Surgery, Uppsala University Hospital, Entrence 70 1 floor, 751 85, Uppsala, Sweden.
Background: Gratifying long-term results are difficult to achieve when reconstructing osteoarthritic finger joints. Implant surgery is the most commonly used method to restore function and dexterity. However, all types of implant have disadvantages and may be a less favorable option in some cases, especially in young patients with a long expected lifetime and high demands on manual load.
View Article and Find Full Text PDFJ Surg Orthop Adv
September 2006
Nuffield Orthopaedic Centre, Windmill Road, Headington, Oxford OX3 7LD, England.
Few areas in orthopaedics have evolved so dramatically over the past few decades as our knowledge of knee physiology, knee kinematics, and knee replacement surgery. This article addresses major breakthroughs in knee replacement surgery, the thought process behind these concepts, and their impact on clinical practice. It focuses on compartmental arthroplasty, use of minimally invasive surgery, advances in biomaterials, and biological solutions for treating arthritis.
View Article and Find Full Text PDFJ Orthop Res
March 2002
Kliniek Klein Rosendael, Velp, The Netherlands.
Background: Experimental data indicate that perichondrial grafting to restore articular cartilage defects will result in repair with hyaline-like cartilage. In contrast. debridement and drilling results in repair with fibro-cartilage.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!