Chondral Disease of the Knee - part 1 ppsx

Chondral Disease of the Knee - part 1 ppsx

Chondral Disease of the Knee - part 1 ppsx

... AND HISTORY OF PRESENT ILLNESS The patient is a 14 -year-old girl with a 1- year history of weight-bearing pain and discomfort on the medial aspect of her right knee with activity-related swelling ... focal chondral defect lateral tibial plateau Ill 33 Bipolar focal chondral defects of the patellofemoral joint with patellar instabihty 11 6 34 Bipolar focal ch...

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Chondral Disease of the Knee - part 2 ppsx

Chondral Disease of the Knee - part 2 ppsx

... subchondral edema and violation of the chondral surface of the lateral femoral condyle (Figure CI.2). SURGICAL INTERVENTION At the time of arthroscopy, a full-thickness 10 mm by 16 mm chondral ... of the chondral surface of the lateral femoral condyle. FIGURE C7.3. Arthroscopic photograph reveals a 10 mm by 16 mm full-thickness chondral dect of the...

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Chondral Disease of the Knee - part 3 potx

Chondral Disease of the Knee - part 3 potx

... with a 10 -mm osteochon- dral autograft harvested from the lateral aspect of the trochlea (Figure CI 1. 3). FIGURE CI 1. 2. (A) Arthroscopic photograph of a grade III to grade IV lesion of the weight-bearing ... she was indicated for osteochondral autograft trans- plantation of the medial femoral condyle. At the time of surgery, there was significant fibro- cartilage...

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Chondral Disease of the Knee - part 4 docx

Chondral Disease of the Knee - part 4 docx

... (Figure C13.4). This is trial version www.adultpdf.com Case 14 DECISION-MAKING FACTORS 1. A young high-demand patient with osteo- chondritis dissecans of the weight-bearing zone of the lateral ... osteochondritis dissecans of the lateral femoral condyle of the left knee with a large cavitary defect involving more than 5 to 8 mm of subchondral bone at the base...

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Chondral Disease of the Knee - part 5 docx

Chondral Disease of the Knee - part 5 docx

... version www.adultpdf.com Case 18 61 DECISION-MAKING FACTORS 1. A failure of first-line treatment with per- sistent symptoms of activity-related weight- bearing pain in the region of the defect. 2. Young high-demand ... typical zone of the medial femoral condyle of the left knee. FIGURE C18.3. Arthroscopic photograph of the medial femoral condyle defect, t...

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Chondral Disease of the Knee - part 6 pot

Chondral Disease of the Knee - part 6 pot

... version www.adultpdf.com Case 21 71 FIGURE C 21. 1. Flexion weight-bearing radiograph demonstrates collapse of the medial femoral condyle osteochondral allograft of the left knee and well-incor- porated osteochondral ... radi- ographs demonstrate collapse of the medial femoral condyle osteochondral allograft of the left knee. The osteochondral allograft and hi...

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Chondral Disease of the Knee - part 7 pps

Chondral Disease of the Knee - part 7 pps

... HISTORY OF PRESENT ILLNESS This patient is a 43-year-old man with a 10 -year history of lateral- greater than medial-sided knee pain as well as anterior knee pain. He complains of catching ... focal chondral defect of the patella TREATMENT Autologous chondrocyte implantation of the patella with distal realignment (Note that the use of ACI for the patella is c...

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Chondral Disease of the Knee - part 8 pps

Chondral Disease of the Knee - part 8 pps

... approxi- mately 10 mm by 10 mm (Figure C32.2). A formal microfracture of the lateral tibial plateau 11 1 This is trial version www.adultpdf.com Case 30 10 5 B FIGURE C30.5. Twenty-four-month anteroposterior ... joint space narrow- ing along the lateral compartment, and early osteophyte formation along the tibial emi- nences of the right knee (Figure C32 .1) . SURGICA...

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Chondral Disease of the Knee - part 9 potx

Chondral Disease of the Knee - part 9 potx

... displacement of the patella rela- tive to the trochlea and mild trochlear hypoplasia. There was no evidence of involve- 11 6 This is trial version www.adultpdf.com PATHOLOGY Lateral compartment tibiofemoral ... C33 .1) . SURGICAL INTERVENTION At the time of arthroscopic biopsy for autolo- gous chondrocyte implantation (ACI), a 12 mm by 14 mm grade IV focal chondral...

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Chondral Disease of the Knee - part 10 doc

Chondral Disease of the Knee - part 10 doc

... in, 2 0-2 2 in meniscectomized knee with lateral tibial plateau changes, 11 1- 1 14 14 3 This is trial version www.adultpdf.com Case 38 14 1 FIGURE C38.5. Ten-month postoperative second- look ... medial femoral condyle, 3 1- 3 2 in patella and trochlea for bipolar defects of patellofemoral joint, 11 6 -1 20 in patellar defect, distal realignment with, 9 1- 9 3 in p...

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