Response to Re: The osteochondral dilemma: review of current management and future trends

摘要

We thank Rozen and Ek for their letter to the editor in response to our review, and for highlighting the use of vascularized osteochondral grafts for cartilage repair of small joints of the hand. We agree that a non-vascularized osteochondral graft, as evidenced by previous studies, does not maintain good quality articular cartilage long term, which inevitably leads to the progression of osteoarthritis. Therefore, the concept of vascularized osteochondral grafts has its merits for particular clinical applications.