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...
Ngày tải lên: 11/08/2014, 05:20
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...
Ngày tải lên: 11/08/2014, 05:20
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...
Ngày tải lên: 11/08/2014, 05:20
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...
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 ... 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...
Ngày tải lên: 11/08/2014, 05:20
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...
Ngày tải lên: 11/08/2014, 05:20
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...
Ngày tải lên: 11/08/2014, 05:20
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...
Ngày tải lên: 11/08/2014, 05:20
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...
Ngày tải lên: 11/08/2014, 05:20
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...
Ngày tải lên: 11/08/2014, 05:20