Patel Shiv P, Conyer Ryan T, Shybut Theodore B
Baylor College of Medicine-Burkhart Research Institute for Orthopaedics, San Antonio, Texas, U.S.A.
Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.
Arthrosc Tech. 2020 Nov 20;9(11):e1727-e1730. doi: 10.1016/j.eats.2020.07.022. eCollection 2020 Nov.
Chondral and osteochondral lesions of the humeral capitellum, most notably osteochondritis dissecans, most commonly present in adolescent baseball players and gymnasts. A variety of surgical techniques can be used to address these lesions. Osteochondral autograft transfer has recently shown superior rates of return to sport. We describe osteochondral autograft transfer from the contralateral knee to treat a large full-thickness chondral lesion of the humeral capitellum. Osteochondral allograft backfill of the donor site is shown as well. This surgical procedure is technically demanding but very reproducible and maximizes return to play in patients while minimizing donor-site morbidity.
肱骨小头的软骨和骨软骨损伤，最显著的是剥脱性骨软骨炎，最常见于青少年棒球运动员和体操运动员。可以使用多种手术技术来处理这些损伤。骨软骨自体移植最近显示出较高的恢复运动率。我们描述了从对侧膝关节进行骨软骨自体移植以治疗肱骨小头大面积全层软骨损伤的方法。同时展示了供区的骨软骨异体骨回填。该手术操作技术要求高，但可重复性强，能使患者最大限度地恢复运动，同时将供区并发症降至最低。
