JBJS case connector · 2026
Reconstruction of Radio-Lunate Articulation With Grafts From Second Metatarsophalangeal Joint Using 3D Planning: A Case Report.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Eisa Amr, Thielen Mirjam, Harhaus Leila
Аннотация
CASE: A 12-year-old girl with post-traumatic destruction of the radiolunate joint underwent CT-based three-dimensional (3D) planning with patient-specific guides/plate and a free, nonvascularized transfer of the second metatarsophalangeal joint: the proximal phalanx base resurfaced the lunate fossa and the second metatarsal head reconstructed the lunate using Osteochondral Autologous Transfer System. At 1 year, wrist pain resolved, near normal range of motion was achieved with a DASH score of 5. CT showed complete graft integration. Gait analysis showed no clinically relevant donor-site deficit.
CONCLUSION: 3D-planned, osteochondral reconstruction of radiolunate articulation using grafts from the second metatarsophalangeal joint can preserve motion with minimal donor morbidity in skeletally immature patients.
LEVEL OF EVIDENCE: Case report, Level V.
CONCLUSION: 3D-planned, osteochondral reconstruction of radiolunate articulation using grafts from the second metatarsophalangeal joint can preserve motion with minimal donor morbidity in skeletally immature patients.
LEVEL OF EVIDENCE: Case report, Level V.