J Korean Fract Soc.  2010 Jul;23(3):321-325. 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

• Lee TJ
• Moon KH
• Jeon YS
• Kwon DS

• KMID: 1712349
• DOI: http://doi.org/10.12671/jkfs.2010.23.3.321

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.

Keyword

Osteochondral defect of head of proximal phalanx of 2nd finger; Phalanx of toe; Osteochondral graft

MeSH Terms

Arthroplasty
Hand
Head
Humans
Joints
Male
Toes
Transplants

Figure

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  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).

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

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  Fig. 3 Osteochondral graft from the head of proximal phalanx of left 5th toe was inserted into the defect and fixed with two 1.7 mm miniscrews.

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  Fig. 4 Photographs obtained 3 months after operation show normal range of motion of the left second finger.

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