Bone-peg grafting for osteochondritis dissecans of the elbow.

Abstract:

:In the treatment of osteochondritis dissecans involving the elbow, we have used a bone-peg graft taken from the proximal part of the ulna and inserted into the defect. Thirty-two patients were followed from 2 to 10.5 years. The graft was utilised in 20 elbows, and 6 of these also had concomitant removal of a loose body. Another 6 elbows had removal of a loose body only. Ten elbows were treated conservatively in 5 of these the outcome was unsatisfactory, including 4 in which a bone-peg graft was later necessary. The bone-peg graft gave the best short-term results. Bony union of the dissecans site and reconstitution of subchondral bone required an average of 6.5 months. In 15 patients followed for a minimum of 5 years, the bone-peg graft was effective in limiting the development of osteoarthritis. Bone-peg grafting is a reliable method for treating osteochondritis dissecans of the elbow.

journal_name

Int Orthop

authors

Oka Y,Ohta K,Fukuda H

doi

10.1007/s002640050304

keywords:

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

53-7

issue

1

eissn

0341-2695

issn

1432-5195

journal_volume

23

pub_type

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