PT  - JOURNAL ARTICLE
AU  - Nakagawa, Keisuke
AU  - Hidaka, Noriaki
AU  - Kitano, Toshio
AU  - Nakamura, Hiroaki
TI  - Costal osteochondral graft for a postoperative cartilage defect in a patient with polydactyly
AID  - 10.1136/bcr-2020-237823
DP  - 2021 Jan 01
TA  - BMJ Case Reports
PG  - e237823
VI  - 14
IP  - 1
4099  - http://casereports.bmj.com/content/14/1/e237823.short
4100  - http://casereports.bmj.com/content/14/1/e237823.full
SO  - BMJ Case Reports2021 Jan 01; 14
AB  - We present a case of a postoperative cartilage defect in a patient with polydactyly who was treated with a costal osteochondral graft. Excision of the radial digit and ligamentous periosteal flap with longitudinal osteotomy were performed when the patient was 1 year old. The alignment of the interphalangeal joint was straight after surgery, but the deviation gradually developed. A revision surgery using a costal osteochondral graft was performed when the patient was 3 years old. A satisfactory outcome was obtained at the 3-year follow-up. The authors suggest that a costal osteochondral graft may be a reasonable option for revision surgery for a postoperative cartilage defect.