Chondral Disease of the Knee - part 4 docx
Chondral Disease of the Knee - part 4 docx
... mm
of subchondral bone at the base of the defect
(Figure C 14. 2).
SURGICAL INTERVENTION
Because of the size, location, and depth of
the lesion, the patient was indicated for fresh
osteochondral ... AND
HISTORY OF PRESENT ILLNESS
The patient is a 44 -year-old woman with a chief
complaint of anterior knee pain and pain with
weight bearing along the medial as...
Chondral Disease of the Knee - part 5 docx
... 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 with minimal loss of subchondral ...
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 de...
Chondral Disease of the Knee - part 1 ppsx
... AND
HISTORY OF PRESENT
ILLNESS
The patient is a 1 4- 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 ...
The illustrated case studies were prepared to help sohdify the decision-
making required for patients who are diagnosed with chondral disease
of the knee. The ca...
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 ... 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
lat...
Chondral Disease of the Knee - part 3 potx
... in the
right medial compartment and moderate
narrowing in the left medial compartment. The
long-leg alignment view shows 4 to 5 degrees
varus on the right and 3 to 4 degrees varus on
the ... 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 med...
Chondral Disease of the Knee - part 6 pot
... demonstrates collapse of the
medial femoral condyle osteochondral
allograft of the left knee and well-incor-
porated osteochondral allograft in the
right knee with a well-healed osteotomy.
SURGICAL ... 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 osteoch...
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 ... 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 C 24. 2D,E)....
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...
Chondral Disease of the Knee - part 9 potx
... C33.2. At the time of arthroscopy for biopsy
for autologous chondrocyte implantation, a grade IV
focal defect of the central-to-lateral aspect of the
patella (A) and a focal defect of the trochlea ... 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 trochle...
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...
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