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 ... activities was 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...

Ngày tải lên: 11/08/2014, 05:20

... 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 lesio...

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 ... displacement of the patella rela- tive to the trochlea and mild trochlear hypoplasia. There was no evidence of involve- 1 16 This is trial version www.adultpdf.com...

Ngày tải lên: 11/08/2014, 05:20

... AND HISTORY OF PRESENT ILLNESS The patient is a 14-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 ... version www.adultpdf.com Chondral Disease of the Knee A Case-Based Approach Brian J. Cole, MD, MBA Associate Professor, Department of Orthopedics and Department...

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 ... subchon- dral edema as well as violation of the chondral surface of the lateral femoral condyle. FIGURE C7.3. Arthroscopic photograph reveals a 10 mm by 16 mm ful...

Ngày tải lên: 11/08/2014, 05:20

... 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 f...

Ngày tải lên: 11/08/2014, 05:20

... Since the time of the injury, the patient has had weight-bearing discomfort with pain along the lateral aspect of his knee. He is unable to perform high-level activities because of the pain ... 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 kn...

Ngày tải lên: 11/08/2014, 05:20

... 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 considered off-label ... 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 compla...

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 4 6- 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

... defect, 9 2-9 4 in patellofemoral defects with patellar instability, 11 6- 1 19 in uncontained defect of lateral trochlea, 6 6- 6 8 and high tibial osteotomy for focal chondral defect of medial ... 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 radiographi...

Ngày tải lên: 11/08/2014, 05:20