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Osteochondral Graft for Metacarpal Head Osteochondral Defects Occurring in a Child With an Open Growth Plate: A Case
Shun Miyamoto1, Yoshio Kaji2, Konosuke Yamaguchi1
1Department of Orthopaedic Surgery, Kagawa University Faculty of Medicine, Kagawa, Japan.
Case:
A 13-year-old adolescent boy with open growth plates in the metacarpal bones developed an osteochondral defect in the metacarpal head of his ring finger. The defect was treated by autologous osteochondral plug transplantation from the femoral condyle. The osteochondral plug was shortened enough to avoid damaging the growth plate and press-fitted to the recipient site. After surgery, the transplanted osteochondral plug united with the surrounding bone tissue, and the articular cartilage and growth plate were well preserved.
Conclusion:
Autologous osteochondral plug transplantation is a treatment option for children with open growth plates to achieve favorable finger function.
