{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:25Z","timestamp":1789948825394,"version":"4.0.1"},"reference-count":28,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T00:00:00Z","timestamp":1775260800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Painful scaphometacarpal impingement after trapeziectomy with or without tendon interposition and ligament reconstruction can be revised with a costochondral autograft. The aim of this retrospective study was to report the outcomes of this surgical procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>All patients who were operated between 2014 and 2023 were invited for a final follow-up. Patient-reported outcomes, clinical function, radiologic measurements of thumb length and a questionnaire for thoracic donor site morbidity were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Out of a total of 43 patients (44 thumbs), 35 patients (36 thumbs) were available for follow-up at a mean follow-up of 71\u2009months (SD 32). The median visual analogue scale score for pain at rest improved from 7 (IQR 5 to 9) preoperatively to 1 (IQR 0 to 5) at follow-up. The score during activities of daily life changed from 9 (IQR 8 to 10) to 5 (1 to 8). The mean brief Michigan Hand Questionnaire score was 53 (SD 24) at the time of follow-up. Twenty-one patients rated their results as good and nine rated them as fair. The median Kapandji index was 9 (IQR 9 to 10) with a median key pinch of 3\u2009kg (IQR 2 to 4). After initial improvement radiological thumb length deteriorated over time to preoperative values. Five out of 35 patients complained about chronic pain at the site of cartilage excision between 1 and 5 on the visual analogue scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>We do not recommend a costochondral autograft as the first choice for revision surgery, but it still could be a solution for recurrent problems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence:<\/jats:title>\n                    <jats:p>IV<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17531934261436298","type":"journal-article","created":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T10:26:13Z","timestamp":1775298373000},"page":"1151-1157","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Midterm outcomes following revision of failed trapeziectomy with a costochondral autograft"],"prefix":"10.1177","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6854-0594","authenticated-orcid":false,"given":"Stefan","family":"Meuser","sequence":"first","affiliation":[{"name":"Department of Handsurgery, Helios Clinic Bonn\/Rhein-Sieg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4206-8482","authenticated-orcid":false,"given":"Johanna","family":"Ueberberg","sequence":"additional","affiliation":[{"name":"Department of Handsurgery, Helios Clinic Bonn\/Rhein-Sieg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolaus","family":"Kernich","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Trauma Surgery, Faculty of Medicine and University Hospital Cologne, University of Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8490-5549","authenticated-orcid":false,"given":"Carolyn","family":"Weber","sequence":"additional","affiliation":[{"name":"Department of Cardiothorcacic Surgery, University of Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Richter","sequence":"additional","affiliation":[{"name":"Department of Handsurgery, Helios Clinic Bonn\/Rhein-Sieg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,4]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193419900470"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(93)90166-D"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2004.06.017"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hansur.2020.05.017"},{"key":"e_1_3_2_6_1","article-title":"The concept of first metacarpal M1-M2 arch. 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