PURPOSE: To describe the operative procedure and report the clinical outcomes of articular surface reconstruction for various @entity2720 using autologous osteochondral grafts from the knee. METHODS: Ten @entity1 underwent articular surface reconstruction for @entity2720 with autologous osteochondral grafts from the patellofemoral joint. Mean @entity1 age was 35 years (range, 15-52 y). The @entity1 were followed for an average of 48 months (range, 16-89 mo). Arthroplasty was performed on the metacarpophalangeal joint in 4 cases, and on the proximal interphalangeal joint in 6 cases. The @entity1 ' clinical outcomes were evaluated with joint range of motion, visual analog scale (0-10 points), and Disabilities of the Arm, Shoulder, and Hand (DASH) score. Histological examination was performed in 3 cases after surgery. RESULTS: Graft union was confirmed in all cases without radiographic evidence of resorption or @entity39 . Follow-up radiographic examinations showed good graft incorporation without signs of @entity571 such as joint space narrowing. The finger flexion-extension arc improved significantly from an average of 21   to 61  . The mean visual analog scale also improved significantly from 7.0 to 1.5. The mean total active motion showed a significant improvement from 151   before surgery to 201   after surgery, and the mean DASH score improved significantly from 33 to 12. There were no significant differences for the arc of finger motion and DASH score between metacarpophalangeal and proximal @entity2720 or between hemiarthroplasty and @entity2720 . Histological examination revealed viable chondrocytes in the implanted cartilage. CONCLUSIONS: Autologous osteochondral grafting from the patellofemoral joint provided satisfactory outcomes and may be a useful option for joint surface reconstruction of traumatic or @entity179 . TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.

Joint Arthroplasty With Osteochondral Grafting From the Knee for Posttraumatic or XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity571 :: ('MESH:D010003', 'Disease') :: ['osteoarthritis'] @entity39 :: ('MESH:D009336', 'Disease') :: ['necrosis'] @entity179 :: ('MESH:D019636', 'Disease') :: ['degenerative hand joint disorders'] @entity2720 :: ('MESH:D007592', 'Disease') :: ['total joint arthroplasty', 'hand joint disorders', 'interphalangeal joint disorders']
@entity179 :: (MESH:D019636,Disease) :: ['Degenerative Hand Joint Disorders']
