Three-and-a-half to 18 year outcome data for costal osteochondral grafts for salvage of the proximal pole of the scaphoid

Abstract

Twelve patients who had undergone costal osteochondral graft reconstruction of the proximal pole of scaphoid were evaluated with clinical examination, patient-reported outcome scores and radiographs with an average follow-up of 10 years (range 3.5–18). The range of wrist motion was not significantly changed compared with the preoperative range of motion and functional outcomes scores were acceptable. The patients reported low pain scores despite the universal presence of radiographic changes of reduced carpal height and arthritis of the midcarpal and radiocarpal joints. Costal osteochondral graft reconstruction of the proximal pole of scaphoid offers good long-term pain relief and function. Level of evidence: IV

Autologous Costal Chondral/Osteochondral Transplantation and Costa‐Derived Chondrocyte Implantation for Articular Cartilage Repair: Basic Science and Clinical Applications

“…Since autologous costal chondral transplantation has been used in plastic and cosmetic surgery, there have been increasing practices restoring the articular chondral and osteochondral lesions with costa-derived graft(s). [13][14][15][16][17][18][19] In this review, we discuss the properties of costal cartilage and bone and their qualifications as grafts for articular cartilage repair, the major clinical applications of autologous chondral/osteochondral transplantation and costa-derived chondrocyte implantation (Figure 1), and the risks and strategies involved in the costal harvest. Through this review, we hope this technique can be better understood.…”

“…Autologous costal chondral/osteochondral transplantation could be an ideal treatment for articular chondral lesions with or without subchondral cysts. Since autologous costal chondral transplantation has been used in plastic and cosmetic surgery, there have been increasing practices restoring the articular chondral and osteochondral lesions with costa‐derived graft(s) 13–19 …”

“…Since autologous costal chondral transplantation has been used in plastic and cosmetic surgery, there have been increasing practices restoring the articular chondral and osteochondral lesions with costa‐derived graft(s). 13 , 14 , 15 , 16 , 17 , 18 , 19 …”