RT Journal Article SR Electronic T1 Costal osteochondral graft for a postoperative cartilage defect in a patient with polydactyly JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e237823 DO 10.1136/bcr-2020-237823 VO 14 IS 1 A1 Nakagawa, Keisuke A1 Hidaka, Noriaki A1 Kitano, Toshio A1 Nakamura, Hiroaki YR 2021 UL http://casereports.bmj.com/content/14/1/e237823.abstract 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.