Mosaicplasty
Harvest site
Option 1
- lateral and medial aspect femoral trochlea
Option 2
- intercondylar notch
Option 3
- allograft
- can take larger grafts without donor site risk
Size
Option 1
- lateral and medial aspect femoral trochlea
Option 2
- intercondylar notch
Option 3
- allograft
- can take larger grafts without donor site risk
1. PIPJ Synovitis
- synovectomy via dorsomedial approach
2. Flexor tenosynovitis
- may cause trigger finger
- trial HCLA
- remove synovits but don't release A1 pulley
- will worsen ulna drift
3. DIPJ
- rarely affects