{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T05:19:16Z","timestamp":1759814356802},"reference-count":26,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Management of hand and wrist avascular necrosis with osteochondral fragmentation or focal arthritis can be a challenging problem with a variety procedures described for its treatment. Osteochondral autograft transplantation systems have been utilized in various focal defects of the knee, ankle, elbow, and wrist. The same principle for the treatment of focal defects of the proximal scaphoid, proximal capitate as well as metacarpal head as an alternative treatment is described. The main indication for this treatment is to address focal or partial osteochondral defects where the size of the defect is smaller than the isthmus of the involved bone to accommodate a cylindrical osteochondral graft that can be press fit. Larger and complete defects are contraindications to this treatment. We discuss the surgical technique as well as its main indications and expected outcomes<\/jats:p>","DOI":"10.1097\/bth.0000000000000284","type":"journal-article","created":{"date-parts":[[2020,3,18]],"date-time":"2020-03-18T21:51:47Z","timestamp":1584568307000},"page":"166-174","source":"Crossref","is-referenced-by-count":5,"title":["Osteochondral Autograft Transplantation for Hand and Wrist Articular Problems"],"prefix":"10.1097","volume":"24","author":[{"given":"Andrew J.","family":"Miller","sequence":"first","affiliation":[{"name":"Philadelphia Hand to Shoulder Center Thomas Jefferson University Hospitals Philadelphia, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allen T.","family":"Bishop","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Division of Hand Surgery, Mayo Clinic, Rochester, MN"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander Y.","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Division of Hand Surgery, Mayo Clinic, Rochester, MN"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2020,12]]},"reference":[{"key":"R1-20230901","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/S0363-5023(79)80101-X","article-title":"Blood vessel transplantation to bone","volume":"4","author":"Hori","year":"1979","journal-title":"J Hand Surg Am"},{"key":"R2-20230901","doi-asserted-by":"crossref","first-page":"664","DOI":"10.2214\/ajr.179.3.1790664","article-title":"Revascularization of avascular necrosis of the capitate bone","volume":"179","author":"Murakami","year":"2002","journal-title":"Am J Roentgenol"},{"key":"R3-20230901","doi-asserted-by":"crossref","first-page":"1303","DOI":"10.1016\/j.jhsa.2009.04.012","article-title":"Vascularized pedicled bone graft for avascular necrosis of the capitate: case report","volume":"34","author":"Hattori","year":"2009","journal-title":"J Hand Surg Am"},{"key":"R4-20230901","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/j.jhsa.2008.10.015","article-title":"Lunate revascularization with artery implantation and bone grafting","volume":"34","author":"Simmons","year":"2009","journal-title":"J Hand Surg Am"},{"key":"R5-20230901","doi-asserted-by":"crossref","first-page":"65","DOI":"10.2106\/00004623-200403001-00009","article-title":"Autologous osteochondral mosaicplasty. 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