PMC4793790_01
The radiograph images showed Eaton and Littler grade 3.
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F1
Radiographs showed osteoarthritic changes, which were classified as Eaton and Littler grade 3 (Figure 1).
(a) The arterial pedicle of the harvested joint was dissected carefully to the snuff box, and the harvested joint was elevated to the thumb carpometacarpal joint. (b) The third carpometacarpal was harvested with remaining radial and ulnar cortical shell of capitate and metacarpal base.. *Volar site of the harvested joint; it has mobility without soft tissue connection.. **Dorsal site of the harvested joint; it has the periosteal and capsular connection.
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F2
The harvested joint was elevated to the thumb CMC joint under extensor carpi radialis longus and brevis tendon (Figure 2a). In contrast, the volar site was mobile without any soft tissue connection (Figure 2b).
(a) Radiographic images at 1-year follow-up evaluation. The grafted joint survived and showed no osteoarthritic changes in the radiographic findings. Donor site had no problems at the 1-year follow-up evaluation. (b) The patient had no pain in the left thumb and could use the hand actively in daily life. Active volar abduction of the thumb was 65 . The Disabilities of the Arm, Shoulder, and Hand score was 4.5 points.
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F3
At the 1-year follow-up evaluation, the grafted joint survived and showed no osteoarthritic changes in the radiographic findings (Figure 3).