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

doi:10.12671/jkfs.2010.23.3.321

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Case Report
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.; Journal of the Korean Fracture Society 2010;23(3):321-325.
DOI: https://doi.org/10.12671/jkfs.2010.23.3.321
Published online: July 31, 2010

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: March 31, 2010 • Revised: May 18, 2010 • Accepted: June 10, 2010

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Abstract
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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.
Key words: Osteochondral defect of head of proximal phalanx of 2^nd finger, Phalanx of toe, Osteochondral graft

REFERENCES

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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).

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.

Figure & Data

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

J Korean Fract Soc. 2010;23(3):321-325. Published online July 31, 2010

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

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

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 5th 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.

Fig. 1

Fig. 2

Fig. 3

Fig. 4

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