Clinical Results of Nonvascularized Metatarsal Articular Bone Grafting for Osteochondral Defects of the Radiocarpal and Distal Radioulnar Joint

Abstract Background Treatment of post-traumatic osteochondral defects in the radiocarpal and distal radioulnar joint with nonvascularized metatarsal articular bone grafting is an option to restore (cartilage) surface wrist function. Purpose To evaluate clinical midterm results 10 consecutive patients who were treated a graft for cartilage lunate facet, scaphoid sigmoid notch, or radial part ulnar head. Patients Methods isolated head, respectively, as result trauma retrospectively identified prospectively collected database. The symptoms limited motion and/or pain. Clinical complications extracted from patient's medical files two questionnaires consisting Patient-Rated Wrist Evaluation additional questions regarding patient satisfaction return work hobby. Results Minor occurred three cases required surgery. In five acceptable donor site foot morbidity was seen at 1 year. One not satisfied due persistent pain despite adequate range motion. could its prior work. Another resume Conclusion Retrospective evaluation resurfacing head has shown that osseointegration possible without vascular pedicle all (mean) follow-up 5 years. This technique may become alternative treatment when implants less available. Level Evidence III