Chondral Disease of the Knee - part 7 pps
Chondral Disease of the Knee - part 7 pps
... 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
Chondral Disease of the Knee - part 1 ppsx
... Clinton, MD 2 073 5 Rush University Medical Center USA Chicago, IL 60612 USA Library of Congress Control Number: 20059 370 74 ISBN 10: 0-3 8 7- 3 0830-X ISBN 13: 97 8-0 38 7- 3 083 0-2 © 2006 Springer ... 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...
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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-th...
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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 ... evidence of joint space narrowing or overt signs of osteoarthritis. through the center of the knee. Magnetic reso- nance imaging reveals an articular defe...
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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 lesio...
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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 ... 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...
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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...
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Chondral Disease of the Knee - part 6 pot
... version www.adultpdf.com Case 21 71 FIGURE C21.1. Flexion weight-bearing radiograph demonstrates collapse of the medial femoral condyle osteochondral allograft of the left knee and well-incor- porated osteochondral ... demonstrates heaUng of the osteotomy and excellent incorporation of the medial femoral condyle osteo- chondral allograft with preservation of the...
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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 ... Axial CT scan of the patellofemoral joint demonstrates some lateral dis- placement of the patella relative to the trochlea and mild trochlear hypoplasia. ment...
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Chondral Disease of the Knee - part 10 doc
... Case 37 FIGURE C 37. 7. Arthroscopic view of the medial femoral condyle obtained 7 months following osteo- chondral allograft transplantation. Note the lack of any articular degeneration of 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 radiographi...
Ngày tải lên: 11/08/2014, 05:20