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 10mm by 16 mm chondral ... to squat. She noted the sudden onset of right knee pain and locking along the medial aspect of her knee. Her pain did not remit despite the passage of approxi...
Ngày tải lên: 11/08/2014, 05:20
Chondral Disease of the Knee - part 1 ppsx
... dissecans of the lateral femoral condyle 62 20 Uncontained focal chondral defect of the lateral trochlea 66 21 Failed prior fresh osteochondral allograft of the medial femoral condyle 70 22 Lateral ... Clinton, MD 20 735 Rush University Medical Center USA Chicago, IL 606 12 USA Library of Congress Control Number: 20 05937074 ISBN 10: 0-3 8 7-3 0830-X ISBN...
Ngày tải lên: 11/08/2014, 05:20
Chondral Disease of the Knee - part 3 potx
... FIGURE C 12. 2. Index microfracture treatment of iso- lated 12 mm by 12 mm defect of the lateral femoral condyle. Arthroscopic view of the lesion (A) before microfracture and (B) after microfracture ... lesion of the lateral femoral condyle measuring approximately 12 mm by 12 mm. This lesion was treated with a formal microfrac- ture technique (Figure C 12. 2). Follow...
Ngày tải lên: 11/08/2014, 05:20
Chondral Disease of the Knee - part 4 docx
... mm of subchondral bone at the base of the defect (Figure C14 .2) . SURGICAL INTERVENTION Because of the size, location, and depth of the lesion, the patient was indicated for fresh osteochondral ... 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...
Ngày tải lên: 11/08/2014, 05:20
Chondral Disease of the Knee - part 5 docx
... photograph of the medial femoral condyle defect, taken at the time of biopsy. FIGURE C18 .2. MRI demonstrates loss of convexity of the medial femoral condyle in the region of the intercondylar ... posteroanterior 45-degree flexion weight-bearing and (B) lateral radiographs demon- strate flattening and loss of contour of the lateral femoral condyle of the r...
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Chondral Disease of the Knee - part 6 pot
... version www.adultpdf.com Case 21 71 FIGURE C21.1. Flexion weight-bearing radiograph demonstrates collapse of the medial femoral condyle osteochondral allograft of the left knee and well-incor- porated osteochondral ... per- mitted at 6 months. FOLLOW-UP At the 2- year follow-up visit, she demonstrates no progression of joint space narrowing and excellent integration...
Ngày tải lên: 11/08/2014, 05:20
Chondral Disease of the Knee - part 7 pps
... with a staple on the tibia and a Ugament button on the femur due to slight graft mis- match and partial compromise of the posterior cortex of the femur (Figure C24.2D,E). Postop- erative rehabilitation ... positioning of the ACL graft and proper seating of the meniscus trans- plant bone plugs. No evidence of joint space narrowing was present (Figure C24.3). Repeat K...
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Chondral Disease of the Knee - part 8 pps
... activities of daily living and high-level sports. In consideration of the size of the lateral femoral condyle lesion and the early degenerative changes of the tibia, he was indicated for an osteochondral ... HISTORY OF PRESENT ILLNESS This patient is a 46-year-old man with com- plaints of right knee pain, swelling, and giving- way of approximately 2 years dur...
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Chondral Disease of the Knee - part 9 potx
... implantation (ACI), a 12 mm by 14 mm grade IV focal chondral defect of the central-to-lateral aspect of the patella and a 12 mm by 14 mm focal chondral defect of the trochlea with fibrocartilaginous ... allograft and of the keyhole bone bridge from the lateral meniscus transplant (Figure C 32. 7). DECISION-MAKING FACTORS debridement and microfracture of t...
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Chondral Disease of the Knee - part 10 doc
... through the proximal fibula in a figure -of- eight configuration (Figure C37.8). A 1-mm biopsy of the fresh osteochondral allo- graft was obtained at that time (Figure C37.9). Postoperatively, the ... sup- plement the press-fit fixation of the osteochon- dral graft. His knee pain and motion continued to improve over the ensuing 6 months and, despite radiographic evid...
Ngày tải lên: 11/08/2014, 05:20