Chondral Disease of the Knee - part 3 potx
Chondral Disease of the Knee - part 3 potx
... she was
indicated for osteochondral autograft trans-
plantation of the medial femoral condyle. At
the time of surgery, there was significant fibro-
cartilage fill of the medial femoral condyle, ... 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 les...
Chondral Disease of the Knee - part 9 potx
... allograft
and of the keyhole bone bridge from the lateral
meniscus transplant (Figure C32.7).
DECISION-MAKING FACTORS
debridement and microfracture of the tibial
plateau.
Microfracture of the tibia ... fibrocartilage fill of
the previously microfractured lesion (Figure
C32.5).
The patient underwent a fresh osteo-
chondral allograft transplant using a
30
mm by...
Chondral Disease of the Knee - part 1 ppsx
... Clinton, MD 20 735
Rush University Medical Center USA
Chicago, IL 60612
USA
Library of Congress Control Number: 2005 937 074
ISBN
10:
0 -3 8 7 -3 0 830 -X
ISBN
13:
97 8-0 38 7 -3 0 83 0-2
© 2006 Springer ... focal chondral defect lateral tibial
plateau Ill
33 Bipolar focal chondral defects of the patellofemoral joint
with patellar instabihty 116
34 Bipolar f...
Chondral Disease of the Knee - part 2 ppsx
... 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
lateral femoral condyle within the ... 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-t...
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 ... absence of
subchondral sclerosis or joint space narrowing.
FIGURE
C 13. 3.
Six-month second-look arthroscopy
of the patella (A) demonstrates soft fibrocartilage
with...
Chondral Disease of the Knee - part 5 docx
...
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 patient ... posteroanterior 45-degree
flexion weight-bearing and (B) lateral radiographs demon-
strate flattening and loss of contour of the lateral femoral
condyle of the right knee...
Chondral Disease of the Knee - part 6 pot
... weight-bearing
radiograph demonstrates collapse of the
medial femoral condyle osteochondral
allograft of the left knee and well-incor-
porated osteochondral allograft in the
right knee with ... 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 of the osteochondral p...
Chondral Disease of the Knee - part 7 pps
...
HISTORY OF PRESENT ILLNESS
This patient is a 4 3- 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...
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 ... (Figure C31.5) .The super-
ficial aspect of the autologous chondrocyte
implant was gently debrided and the medial
meniscus was completely healed to the per...
Chondral Disease of the Knee - part 10 doc
... a
30 mm by 30 mm fresh osteochondral shell
allograft transplant (Figure C37.5). A headless
cannulated compression screw was used to sup-
plement the press-fit fixation of the osteochon-
dral ... and complete healing of the
valgus-producing hemicallotasis high tibial
osteotomy (HTO). Note that the weight-bearing
line falls into the medial third of the lateral
compartm...