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...

Ngày tải lên: 11/08/2014, 05:20

... 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...

Ngày tải lên: 11/08/2014, 05:20

... 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...

Ngày tải lên: 11/08/2014, 05:20

... 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...

Ngày tải lên: 11/08/2014, 05:20

... 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...

Ngày tải lên: 11/08/2014, 05:20

... 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...

Ngày tải lên: 11/08/2014, 05:20

... 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)....

Ngày tải lên: 11/08/2014, 05:20

... 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...

Ngày tải lên: 11/08/2014, 05:20

... 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...

Ngày tải lên: 11/08/2014, 05:20

... 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