The clinical outcomes of mosaicplasty in the treatment of XXXX of the distal humeral capitellum of young athletes.

@entity1843 @entity1 @entity51 @entity158
BACKGROUND: The purpose of this study was to evaluate the clinical outcomes of mosaicplasty in the treatment of @entity1843 of the distal humeral capitellum. MATERIALS AND METHODS: Between 2003 and 2007, 10 @entity1 (6 female and 4 male @entity1 ), with a mean age at surgery of 18 years (range, 13 to 27 years), with advanced lesions of @entity1843 underwent mosaicplasties. The surgical technique involves transplanting small-sized cylindrical osteochondral grafts from the lateral periphery of the femoral condyle at the level of the patellofemoral joint to the defect of the capitellum. At a mean follow-up of 30 months, all elbows were assessed with the Mayo Elbow Performance Score and a modified functional elbow score (Constant). RESULTS: Postoperative radiographs and control magnetic resonance imaging/computed tomography images showed incorporation of the subchondral cortex in all @entity1 . All but 2 @entity1 were @entity158 free after surgery. Of the @entity1 , 8 (80%) had no reduction in range of motion. By use of the Mayo Elbow Performance Score, the injured elbow had a preoperative mean score of 71 points (range, 55 to 85 points) and increased significantly to a mean score of 93.5 points (range, 85 to 100 points) postoperatively (P = .0005, paired t test). The nonoperative elbows had a mean score of 100 points, whereas the operated elbows had a mean score of 93.5 points. The functional elbow score showed a mean difference of 7.5 points between the operated and nonoperative elbows. No @entity51 developed after surgery in any case. CONCLUSIONS: Autologous osteochondral mosaicplasty for advanced lesions of @entity1843 can provide satisfactory clinical and radiographic results.
