Osteochondral Autograft Using Head of Proximal Phalanx of Toe for Partial Osteochondral Defect of Proximal Interphalangeal Joint - A Case Report -

Tong-Joo Lee; Kyung-Ho Moon; Yoon-Sang Jeon; Do-Seung Kwon

doi:10.12671/jkfs.2010.23.3.321

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Lee, Moon, Jeon, and Kwon: Osteochondral Autograft Using Head of Proximal Phalanx of Toe for Partial Osteochondral Defect of Proximal Interphalangeal Joint - A Case Report -

Case Report

Journal of the Korean Fracture Society

Journal of the Korean Fracture Society 2010; 23(3): 321-325.

Published online: 31 July 2010

DOI: https://doi.org/10.12671/jkfs.2010.23.3.321

Osteochondral Autograft Using Head of Proximal Phalanx of Toe for Partial Osteochondral Defect of Proximal Interphalangeal Joint - A Case Report -

Tong-Joo Lee, M.D., Kyung-Ho Moon, M.D., Yoon-Sang Jeon, M.D., Do-Seung Kwon, M.D.

Department of Orthopedic Surgery, Inha University School of Medicine, Incheon, Korea.

Address reprint requests to: Tong-Joo Lee, M.D. Department of Orthopaedic Surgery, Inha University School of Medicine, 7-206, Sinheung-dong 3-ga, Jung-gu, Incheon 400-103, Korea. Tel: 82-32-890-3662, Fax: 82-32-890-3099, TJLEE@inha.ac.kr

Received 31 March 2010 Revised 18 May 2010 Accepted 10 June 2010

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Osteochondral injury due to the trauma of the hand is relatively common. If the size of the osteochondral fracture fragment is large, open reduction and internal fixation are often feasible in treating these problems. However, arthroplasty using osteochondral graft is more preferred when the particle is small and articular surface is comminuted or fully defected. There are many reports of osteochondral graft using the costal osteochondral graft but the osteochondral graft using the interphalangeal joint of the toe is rarely reported. Thoroughly reviewed with relevant articles, this report presents a case of a 33 year old male who was successfully treated with osteochondral autograft using the proximal interphalangeal joint of the toe due to the traumatic osteochondral defect in the head of the second proximal phalanx.

Keywords: Osteochondral defect of head of proximal phalanx of 2^nd finger, Phalanx of toe, Osteochondral graft

Figures and Tables

Fig. 1

Anteroposterior, oblique and lateral roentgenograms show bone defect on left second proximal phalangeal head (The arrow shows a osteochondral defect more than half of ulnar side in proximal phalangeal head of the left second finger).

Fig. 2

The head proximal phalanx was resected and proximal interphalangeal joint of left 5th toe was fixed with 2 K-wires.

Fig. 3

Osteochondral graft from the head of proximal phalanx of left 5^th toe was inserted into the defect and fixed with two 1.7 mm miniscrews.

Fig. 4

Photographs obtained 3 months after operation show normal range of motion of the left second finger.

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