Post-traumatic reconstruction of digital joints by costal cartilage grafting: A preliminary prospective study

Zappaterra, T.; Obert, L.; Pauchot, J.; Lepage, D.; Rochet, S.; Gallinet, David; Tropet, Y.

doi:10.1016/j.main.2010.07.003

Cited by 18 publications

(5 citation statements)

References 23 publications

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“…Costal cartilage is hyaline cartilage and shows phenotypic similarities to articular cartilage 3 ; hence, it can be another source for autologous graft in the reconstruction of articular cartilage, 4 - 6 external ears, 7 and the trachea. 8 The costal osteochondral junction has been employed to treat osteochondral impair not only in small joints such as the interphalangeal joint 9 and temporomandibular joints 10 but also in the elbows 11 , 12 and wrists. 13 The clinical results were satisfactory.…”

Section: Introductionmentioning

confidence: 99%

Repairing Osteochondral Defects of Critical Size Using Multiple Costal Grafts

Sugita

Liu

et al. 2015

CARTILAGE

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Objective:To investigate the feasibility of repairing osteochondral defects of critical size by performing mosaicplasty using multiple sliced costal cartilage grafts, which enables repair of extensively injured knees using grafts from a single rib.Design:Critical osteochondral defects were prepared on the femoral groove of skeletally mature Japanese white rabbits. Costal cartilage grafts from a single rib were harvested and sliced into multiple segments (approximately 3-5 mm in length). The defects were left untreated or repaired by performing mosaicplasty using costal cartilage grafts (with or without a longitudinal cut along the middle). At 4 and 12 weeks after transplantation, International Cartilage Repair Society macroscopic and histological grading was performed.Results:The macroscopic score and visual histological score were significantly higher in the repaired groups than in the untreated group at 4 and 12 weeks after surgery. Histological continuous integration between grafted costal cartilage and host bone was observed in both repaired groups.Conclusions:The findings suggest that costal cartilage might be a useful alternative source for chondral grafting. We were able to repair large osteochondral defects by performing mosaicplasty using multiple sliced costal cartilage grafts from a single rib.

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Section: Introductionmentioning

confidence: 99%

Repairing Osteochondral Defects of Critical Size Using Multiple Costal Grafts

Sugita

Liu

et al. 2015

CARTILAGE

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“…Sato et al [12] reported a significant improvement in joint mobility in nine PIP reconstructions with autologous costochondral grafts. Zappaterra et al [28] confirmed these results in four patients with a mean arc of mobility of 20°-50°. However, this donor area is at risk of pneumothorax, even though this risk is minimal when the correct approach is carried out.…”

Section: Discussionmentioning

confidence: 63%

Ligamentoplasty with interposition of the proximal interphalangeal joint in the treatment of unicondylar osteochondral defects: a cadaveric feasibility study

et al. 2021

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Background Injuries to the proximal interphalangeal (PIP) joint are common and complex. However, the treatment of osteochondral defects of the head of the proximal phalanx has rarely been described. Herein, we propose a new technique for the management of unicondylar defects of the proximal phalanx that can restore joint amplitudes and provide PIP stability.Methods In this cadaveric feasibility study, unicondylar defects were generated using striking wedges and chisels. First, a transverse tunnel measuring 2 mm in diameter passing through the head of the proximal phalanx was made. A second tunnel at the base of the middle phalanx with the same diameter was then created. The hemitendon of the flexor carpi radialis graft was passed through each of these tunnels. The proximal end of the graft was interposed in the area with a loss of bone substance. The ligamentoplasty was then tensed and fixed by two anchors on the proximal phalanx. Joint amplitudes and frontal stability were measured preoperatively and postoperatively.Results There was no significant change in the joint’s range of motion: preoperatively, the mean mobility arcs were –2° to 113.80°, and they were –2° to 110° after the procedure (P=0.999). There was no significant difference in joint stability (P>0.05).Conclusions Ligamentoplasty with PIP interposition appears to be a possible solution for the management of unicondylar defects of the proximal phalanx. An evaluation of clinical results is planned in order to definitively confirm the validity of this procedure.

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“…Au stade chronique, diverses techniques chirurgicales ont été décrites : le transfert de plaque palmaire [9] est largement utilisé mais ne peut être utilisé dans les defects ostéocartilagineux importants. D'autres auteurs ont proposé des greffons pour traiter ces defects importants : la greffe de cartilage costal [10,11] ou le transfert articulaire vascularisé d'orteil [12], qui tous, ont démontré de bons résul-tats mais entraînent une morbidité du site donneur. Ishida [13] Capo [6] a réalisé une étude cadavérique sur 8 spécimens et a montré que la surface articulaire du greffon d'hémi-hamatum peut se rapprocher de la surface articulaire de la base de la 2ème phalange.…”

Section: Discussionunclassified