{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T20:49:09Z","timestamp":1792097349411,"version":"4.4.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nA 17-year-old boy who was engaged in amateur weightlifting and body building presented with complaints of right elbow pain and limitation in elbow range of motion. Plain x-rays and magnetic resonance imaging showed an osteochondral defect in the medial third of the capitellum. At surgery, as a new technique, the lateral collateral ligament was detached from the humeral attachment to provide access to the capitellum with a clear and perpendicular exposure. Following removal of loose fragments within the joint, an osteochondral graft harvested from the lateral femoral condyle was implanted to the defect area of the capitellum. Postoperative radiologic controls showed that the defect was entirely filled by the graft with appropriate graft height. On follow-up examination at 12 months, the patient did not have any complaint about his elbow, and had no limitation of movement compared to the left elbow. Magnetic resonance imaging showed that the graft was successfully adapted to the recipient site without any sign of loosening. At final follow-up 40 months after surgery, the surface of the articular cartilage appeared normal. The range of elbow motion was preserved and the patient had no restriction in daily and sports activities. Considering technical difficulties posed by the narrow and complex structure of the elbow joint, this new technique involving detachment of the lateral collateral ligament facilitates perpendicular implantation of the graft. In our opinion, utilization of this new technique will improve functional and radiological results of osteochondral autograft transfer.\n\n\u00d6zet\n\nOn yedi ya\u015f\u0131nda, amat\u00f6r olarak a\u011f\u0131rl\u0131k kald\u0131rma ve v\u00fccut geli\u015ftirme sporu ile ilgilenen erkek hasta, sa\u011f dirsekte a\u011fr\u0131 ve hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131 yak\u0131nmalar\u0131yla ba\u015fvurdu. D\u00fcz radyografilerde ve manyetik rezonans g\u00f6r\u00fcnt\u00fclemede kapitellumun 1\/3 orta b\u00f6lgesinde osteokondral lezyon saptand\u0131. Ameliyatta, yeni bir yakla\u015f\u0131m olarak, lateral kollateral ba\u011f humeral yap\u0131\u015fma yerinden kald\u0131r\u0131larak kapitellum daha net ve dik a\u00e7\u0131yla ula\u015f\u0131labilecek pozisyona getirildi. Eklem i\u00e7indeki serbest fragmanlar\u0131n \u00e7\u0131kar\u0131lmas\u0131ndan sonra, lateral femoral kondilden al\u0131nan osteokondral otogreft defekt b\u00f6lgesine yerle\u015ftirildi. Ameliyat sonras\u0131 radyolojik incelemelerde, osteokondral greftin defektli b\u00f6lgeyi tam doldurdu\u011fu ve greft y\u00fcksekli\u011finin iyi oldu\u011fu g\u00f6zlendi. Hastan\u0131n 12. ay kontrol\u00fcnde dirsekte hi\u00e7bir yak\u0131nmas\u0131 ve sol dirse\u011fe g\u00f6re hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131 yoktu. Manyetik rezonans g\u00f6r\u00fcnt\u00fclemede greftin al\u0131c\u0131 saha i\u00e7ine iyi uyum g\u00f6sterdi\u011fi ve gev\u015feme belirtisi olmad\u0131\u011f\u0131 g\u00f6r\u00fcld\u00fc. K\u0131rk ay sonra yap\u0131lan radyografik kontrolde eklem k\u0131k\u0131rda\u011f\u0131n\u0131n y\u00fczey b\u00fct\u00fcnl\u00fc\u011f\u00fc normal g\u00f6r\u00fcn\u00fcmdeydi; hareket a\u00e7\u0131kl\u0131\u011f\u0131n\u0131n korundu\u011fu ve hastan\u0131n sportif ve g\u00fcnl\u00fck etkinliklerinde herhangi bir k\u0131s\u0131tlamas\u0131 olmad\u0131\u011f\u0131 g\u00f6r\u00fcld\u00fc. Lateral kollateral ba\u011f\u0131 kald\u0131rarak uygulad\u0131\u011f\u0131m\u0131z cerrahi teknik, dirse\u011fin dar ve karma\u015f\u0131k eklem yap\u0131s\u0131ndan kaynaklanan teknik zorluklar g\u00f6z \u00f6n\u00fcne al\u0131nd\u0131\u011f\u0131nda, greftin dik a\u00e7\u0131da yerle\u015ftirilmesini kolayla\u015ft\u0131rmaktad\u0131r. Bu teknikle yap\u0131lan osteokondral otogreft naklinin daha iyi fonksiyonel ve radyolojik iyile\u015fme sa\u011flayaca\u011f\u0131 kan\u0131s\u0131nday\u0131z.<\/jats:p>","DOI":"10.3944\/aott.2010.2235","type":"journal-article","created":{"date-parts":[[2010,5,12]],"date-time":"2010-05-12T14:27:30Z","timestamp":1273674450000},"page":"82-87","source":"Crossref","is-referenced-by-count":7,"title":["A new surgical technique to facilitate osteochondral autograft transfer in osteochondral defects of the capitellum: a case report"],"prefix":"10.5152","volume":"44","author":[{"given":"Kerem","family":"Bilsel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Demirhan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ata","family":"Can lar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Semih","family":"Akkaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2357\/2314","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:56:42Z","timestamp":1763463402000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2357"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2010,1,1]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2010.2235","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}