photos

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

Conditions

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