Perichondrial Arthroplasty Incorporating Costal Cartilage

Katsaros, James; Milner, R.H.; Marshall, Nicky

doi:10.1016/s0266-7681(05)80039-7

Cited by 27 publications

(14 citation statements)

References 14 publications

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“…All patients were reviewed 16.1 months in average postsurgery (9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25). No infection occurred; none of the grafted fingers experienced any tenolysis, arthrodesis, or secondary amputation.…”

Section: Resultsmentioning

confidence: 99%

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

Zappaterra

Obert²,

Pauchot³

et al. 2010

Chirurgie de la Main

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Section: Resultsmentioning

confidence: 99%

“…In this small group of patients, the range of movement reached 648 [21]. Katsaros, in 1995, reported six cases of PIP reconstructions by costochondrial grafting; perichondrium had been preserved in six patients of whom five had significant improvement of their symptoms [22].…”

Section: [ ( F I G _ 2 ) T D $ F I G ]mentioning

confidence: 90%

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

Zappaterra

Obert²,

Pauchot³

et al. 2010

Chirurgie de la Main

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“…2 Later it was adapted to the proximal interphalangeal (PIP) joints 3 and the interphalangeal joint of the thumb. 4 The use of the technique has decreased as results after implant arthroplasty have improved. The second surgical site at the rib level may also be part of the reason why the technique is not widely used.…”

mentioning

confidence: 99%

Resurfacing the Distal Radioulnar Joint with Rib Perichondrium–A Novel Method

Vedung

Vinnars

2014

Jnl Wrist Surg

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Background Osteoarthritis in the distal radioulnar joint (DRUJ) is a challenging condition with few really reliable surgical options, particularly in young individuals. Traditional methods as hemiresection, the Darrach procedure, and the Sauvé-Kapandji procedure have less favorable results in the nonrheumatoid patient. The results after implant arthroplasty have improved, but long-term results are yet to be presented before implant arthroplasty can be recommended to young individuals with osteoarthritis in the DRUJ. An alternative method to treat osteoarthritic joints is surface replacement with free costal perichondrium. The technique has been used since the 1970s for other joints. Case Description We adapted the method and used it in two female patients (37 and 38 years old) with nontraumatic osteoarthritis in the DRUJ. Both patients had severe pain and were unable to work. The eroded joint surfaces were resected down to bleeding subchondral cortex. Perichondrium from the seventh rib was osteo-sutured and glued to the ulnar head and the sigmoid notch. Results The maximum follow-up-time in this retrospective review is 25 months. Our short-term results are encouraging in terms of pain relief, motion, grip strength, and return to work. The first patient had an excellent result and was completely normalized. The second patient has improved significantly and experiences only slight pain on heavy lifting and rotational load. Clinical Relevance Free costal perichondrium may be a useful alternative for treating osteoarthritis in the DRUJ, especially in young individuals. The option for a later implant arthroplasty is preserved because most of the anatomy of the joint and all the soft tissue stabilizers are intact. Level of Evidence Therapeutic IV, Case series.

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“…4 More recently, grafts have been used in orthopedics, whether costal cartilage or not, in post-traumatic interphalangeal (PIP) joint injury, 5 metacarpal bone and metacarpophalangeal (MCP) joint injury, 6 phalangeal joint reconstruction, 7,8 and radioscaphoid osteoarthritis (OA). 9,10 Currently, osteochondral allografts and cartilage autografts are used in managing osteochondritis of the elbow and knee.…”

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confidence: 99%

Rib Cartilage Graft for Posttraumatic or Degenerative Arthritis at Wrist Level: 10-Year Results

et al. 2013

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Background?Posttraumatic arthritides of the radiocarpal joint, secondary to scaphoid nonunion advanced collapse (SNAC), scapholunate advanced collapse (SLAC), or Kienb?ck disease or in cases of intraarticularmalunion of the distal radius, are classically solved by some type of arthrodesis procedure. Osteochondral grafting provides a possible motion-sparing option that can diminish pain in the active patient. Description of Technique?A chondrocostal graft harvested from the ninth rib was inserted and fixed with a plate in place of the articular defect in cases of a malunited intra-articular distal radius fracture (7 cases) or to replace the proximal pole of the scaphoid in cases of SNAC or SLAC (18 cases). In Kienb?ck disease, the graft was inserted as a free cartilage spacer (4 cases). Results?Harvesting the graft from the ninth rib had minimal morbidity without pleural injury in the reported series. Graft union was achieved in all cases of fixation. No graft resorption or necrosis were observed on X-ray and magnetic resonance imaging (MRI) evaluation at the longest follow-up of 10 years. Histological analysis performed at the time of plate removal showed the vitality of the graft. Two thirds of the patients had excellent or good results using the Green and O'Brien score. Conclusions?Reconstruction of a partially destroyed articular surface using a costal graft is reliable and provides an alternative option for resurfacing the articular surface with viable cartilage.

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Perichondrial Arthroplasty Incorporating Costal Cartilage

Cited by 27 publications

References 14 publications

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

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

Resurfacing the Distal Radioulnar Joint with Rib Perichondrium–A Novel Method

Rib Cartilage Graft for Posttraumatic or Degenerative Arthritis at Wrist Level: 10-Year Results

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