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


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

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