Abstract
Proximal interphalangeal (PIP) joint injuries with associated osteochondral defects are a challenging problem. Without restoration of a concentrically reduced PIP joint, posttraumatic articular degenerative changes will develop. The indications for hemihamate replacement arthroplasty (HHRA) are limited to volar defects of the middle phalanx base with an intact dorsal cortex and at least 10–20 % of the dorsal articular surface remaining on the base of the middle phalanx. Other osteoarticular PIP joint injuries include middle phalanx base sagittal defects, proximal phalanx unicondylar defects, combined proximal and middle phalangeal osteochondral defects from open injury, and isolated focal osteochondral defects. The goal of this chapter is to provide an overview of autograft options (other than HHRA) for PIP joint osteochondral defects, with a clinical vignette demonstrating reconstruction of a unicondylar injury of the proximal phalanx.
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References
Tsubokawa N, Yoshizu T, Maki Y. Long-term results of free vascularized second toe joint transfers to finger proximal interphalangeal joints. J Hand Surg Am. 2003;28A:443–7. doi:10.1053/jhsu.2003.50087.
Foucher G, Lenoble E, Smith D. Free and island vascularized joint transfer for proximal interphalangeal reconstruction: a series of 27 cases. J Hand Surg Am. 1994;19A:8–16. doi:10.1016/0363-5023(94)90217-8.
Ozyurekoglu T. Multiple osteochondral autograft transfer to the proximal interphalangeal joint: case report. J Hand Surg Am. 2010;35A:931–5. doi:10.1016/j.jhsa.2010.02.034.
Yamagami N, Yamamoto S, Tsujimoto Y, Uchio Y. Osteochondral autograft transplantation for malunited intra-articular fracture of the proximal interphalangeal joint: a case report. Arch Orthop Trauma Surg. 2013;133:135–9. doi:10.1007/s00402-012-1622-4.
Gaul JS. Articular fractures of the proximal interphalangeal joint with missing elements: repair with partial toe joint osteochondral autografts. J Hand Surg Am. 1999;24A:78–85. doi:10.1053/jhsu.1999.jhsu24a0078.
Pirani AA, Rao A, Sharma S. Traumatic proximal interphalangeal joint reconstruction with an autologous hemi-toe osteochondral graft: case report. J Hand Surg Am. 2013;38A:1320–3. doi:10.1016/j.jhsa.2013.03.045.
Hendry JM, Mainprize J, McMillan C, Binhammer P. Structural comparison of the finger proximal interphalangeal joint surfaces and those of the third toe: suitability for joint reconstruction. J Hand Surg Am. 2011;36A:1022–7. doi:10.1016/j.jhsa.2011.01.047.
Seradge H, Kutz JA, Kleinert HE, Lister GD, Wolff TW, Atasoy E. Perichondrial resurfacing arthroplasty in the hand. J Hand Surg Am. 1984;9A:880–6. doi:10.1016/S0363-5023(84)80072-6.
Takayama S, Nakao Y, Horiuchi Y, Itoh Y. Arthroplasty of MP and PIP joints using a chondroperichondrial graft. Tech Hand Up Extrem Surg. 1998;2(2):115–8. doi:10.1097/00130911-199806000-00005.
Sato K, Sasaki T, Nakamura T, Toyama Y, Ikegami H. Clinical outcome and histologic findings of costal osteochondral grafts for cartilage defects in finger joints. J Hand Surg Am. 2008;33A:511–5. doi:10.1016/j.jhsa.2008.01.003.
Zappaterra T, Obert L, Pauchot J, Lepage D, Rochet S, Gallinet D, et al. Post-traumatic reconstruction of digital joints by costal cartilage grafting: a preliminary prospective study. Chir Main. 2010;29:294–300. doi:10.1016/j.main.2010.07.003.
Ishida O, Ikuta Y, Kuroki H. Ipsilateral osteochondral grafting for finger joint repair. J Hand Surg Am. 1994;19A:372–7. doi:10.1016/0363-5023(94)90048-5.
Zhang X, Fang X, Shao X, Wen S, Zhu H, Ren C. Osteoarticular pedicle flap from the capitate to reconstruct traumatic defects in the head of the proximal phalanx. J Hand Surg Am. 2012;37A:1780–90. doi:10.1016/j.jhsa.2012.05.004.
Hernandez JD, Sommerkamp TG. Morphometric analysis of potential osteochondral autografts for resurfacing unicondylar defects of the proximal phalanx in PIP joint injuries. J Hand Surg Am. 2010;35A:604–10. doi:10.1016/j.jhsa.2009.12.041.
Cavadas PC, Landin L, Thione A. Reconstruction of the condyles of the proximal phalanx with osteochondral grafts from the ulnar base of the little finger metacarpal. J Hand Surg Am. 2010;35A:1275–81. doi:10.1016/j.jhsa.2010.04.013.
Weiss AP, Hastings H. Distal unicondylar fractures of the proximal phalanx. J Hand Surg Am. 1993;18A:594–9. doi:10.1016/0363-5023(93)90297-G.
Williams RM, Kiefhaber TR, Sommerkamp TG, Stern PJ. Treatment of unstable dorsal proximal interphalangeal fracture/dislocations using a hemi-hamate autograft. J Hand Surg Am. 2003;28A:856–65. doi:10.1016/S0363-5023(03)00304-6.
Calfee RP, Kiefhaber TR, Sommerkamp TG, Stern PJ. Hemi-hamate arthroplasty provides functional reconstruction of acute and chronic proximal interphalangeal fracture-dislocations. J Hand Surg Am. 2009;34A:1232–41. doi:10.1016/j.jhsa.2009.04.027.
Bury TF, Stassen LP, van der Werken C. Repair of the proximal interphalangeal joint with a homograft. J Hand Surg Am. 1989;14A:657–8. doi:10.1016/0363-5023(89)90185-8.
Hasegawa T, Yamano Y. Arthroplasty of the proximal interphalangeal joint using costal cartilage grafts. J Hand Surg Br. 1992;17B:583–5. doi:10.1016/S0266-7681(05)80248-7.
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Lien, J.R., Sommerkamp, T.G. (2016). Condylar Replacement Arthroplasty and Other PIP Autografts. In: Adams, J. (eds) PIP Joint Fracture Dislocations. Springer, Cham. https://doi.org/10.1007/978-3-319-28579-5_11
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DOI: https://doi.org/10.1007/978-3-319-28579-5_11
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