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Arthroplasty of the Interphalangeal Joint of the Great Toe Using Costal Osteochondral Grafting

Hisashi Motomura, MD ^*, Kensuke Nose, MD , Masao Fujiwara, MD , Toshiyuki Ozawa, MD ^*, Teruichi Harada, MD ^* and Michinari Muraoka, MD ^*

^* Department of Plastic and Reconstructive Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.
Department of Plastic and Reconstructive Surgery, Tenri Hospital, Nara, Japan.

Corresponding author: Hisashi Motomura, MD, Department of Plastic and Reconstructive Surgery, Osaka City University Graduate School of Medicine, Asahi 1-4-3, Abeno, Osaka 545-8585, Japan.

Abstract

Although many reports have been published on the usefulness of costal cartilage grafting in the reconstruction of interphalangeal joints of fingers, there are only a few published reports on the reconstruction of interphalangeal joints of toes. We describe a 21-year-old woman with a tissue defect of the dorsum pedis and a partial defect of the interphalangeal joint of the great toe caused by a motor-vehicle accident. We attempted arthroplasty using a free latissimus dorsi myocutaneous flap and a costal osteochondral graft. The grafted rib and cartilage survived, allowing the patient to resume functional ambulation for day-to-day activities. Arthroplasty using costal osteochondral grafts seems to be an effective means of reconstructing the interphalangeal joints of toes. (J Am Podiatr Med Assoc 96(6): 508–512, 2006)