Costal Osteochondral Grafts for Osteochondritis Dissecans of the Capitulum Humeri
- 1 June 2008
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Techniques in Hand & Upper Extremity Surgery
- Vol. 12 (2), 85-91
- https://doi.org/10.1097/bth.0b013e31815b2e05
Abstract
The objective of the treatment for osteochondritis dissecans of the humeral capitulum is to prevent the occurrence of osteoarthritis and to allow the patients to return to throwing activities. In repairing osteochondral defects in advanced osteochondritis dissecans of the humeral capitulum after free body removal, we have performed block-shaped costal osteochondral grafting in 18 elbows since 1997. A block-shaped graft harvested from the transitional area between the rib and its associated cartilage was implanted to the osteochondral defect. This method allows the osteochondral defect to be repaired with uniform hyaline cartilaginous articular surface without any effect to other joints. Donor site no longer causes pain at 2 or 3 days after surgery. The purpose of this study is to describe the history, indications, and the surgical techniques of costal osteochondral grafting for advanced osteochondritis dissecans of the capitulum.Keywords
This publication has 15 references indexed in Scilit:
- Autologous Osteochondral Mosaicplasty for Capitellar Osteochondritis Dissecans in Teenaged PatientsThe American Journal of Sports Medicine, 2006
- Reconstruction with an Osteochondral Autograft for Advanced Osteochondritis Dissecans of the ElbowClinical Orthopaedics and Related Research, 2005
- Two cases with osteochondritis dissecans of the capitulum humeri treated with costal osteochondral graft transplantationJournal of Shoulder and Elbow Surgery, 2003
- Mosaicplasty for the Treatment of Articular Defects of the Knee and AnklePublished by Ovid Technologies (Wolters Kluwer Health) ,2001
- Histologic analysis of the implanted cartilage in an exact-fit osteochondral transplantation modelArthroscopy: The Journal of Arthroscopic & Related Surgery, 2001
- Evidence of chondrocyte repopulation in adult ovine articular cartilage following cryoinjury and long-term transplantationOsteoarthritis and Cartilage, 2001
- Bone-peg grafting for osteochondritis dissecans of the elbowInternational Orthopaedics, 1999
- Articular Cartilage TransplantationClinical Orthopaedics and Related Research, 1999
- Arthroscopic autogenous osteochondral mosaicplasty for the treatment of femoral condylar articular defectsKnee Surgery, Sports Traumatology, Arthroscopy, 1997
- Reconstruction of Skeletal Deficits at the KneeClinical Orthopaedics and Related Research, 1983