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A new surgical technique to facilitate osteochondral autograft transfer in osteochondral defects of the capitellum: a case report

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dc.contributor.authorBilsel, Kerem
dc.contributor.authorDemirhan, Mehmet
dc.contributor.authorAtalar, Ata Can
dc.contributor.authorAkkaya, Semih
dc.contributor.institutionauthorBİLSEL, İSMAIL KEREM
dc.date.accessioned2020-10-29T13:13:09Z
dc.date.available2020-10-29T13:13:09Z
dc.date.issued2010-01-01T00:00:00Z
dc.description.abstractA 17-year-old boy who was engaged in amateur weightlifting and body building presented with complaints of right elbow pain and limitation in elbow range of motion. Plain x-rays and magnetic resonance imaging showed an osteochondral defect in the medial third of the capitellum. At surgery, as a new technique, the lateral collateral ligament was detached from the humeral attachment to provide access to the capitellum with a clear and perpendicular exposure. Following removal of loose fragments within the joint, an osteochondral graft harvested from the lateral femoral condyle was implanted to the defect area of the capitellum. Postoperative radiologic controls showed that the defect was entirely filled by the graft with appropriate graft height. On follow-up examination at 12 months, the patient did not have any complaint about his elbow, and had no limitation of movement compared to the left elbow. Magnetic resonance imaging showed that the graft was successfully adapted to the recipient site without any sign of loosening. At final follow-up 40 months after surgery, the surface of the articular cartilage appeared normal. The range of elbow motion was preserved and the patient had no restriction in daily and sports activities. Considering technical difficulties posed by the narrow and complex structure of the elbow joint, this new technique involving detachment of the lateral collateral ligament facilitates perpendicular implantation of the graft. In our opinion, utilization of this new technique will improve functional and radiological results of osteochondral autograft transfer.
dc.identifier.citationBilsel K., Demirhan M., Atalar A. C. , Akkaya S., -A new surgical technique to facilitate osteochondral autograft transfer in osteochondral defects of the capitellum: a case report-, ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA, cilt.44, ss.82-87, 2010
dc.identifier.doi10.3944/aott.2010.2235
dc.identifier.scopus77955074448
dc.identifier.urihttp://hdl.handle.net/20.500.12645/25129
dc.identifier.wosWOS:000278796000014
dc.titleA new surgical technique to facilitate osteochondral autograft transfer in osteochondral defects of the capitellum: a case report
dc.typeArticle
dspace.entity.typePublication
local.avesis.id0cf4c7f3-7156-4ee3-a21f-80565de656fd
local.publication.isinternational1
relation.isAuthorOfPublicationdb1859ad-a3b3-4299-8b42-89a62b377d7d
relation.isAuthorOfPublication.latestForDiscoverydb1859ad-a3b3-4299-8b42-89a62b377d7d
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