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...
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...
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...
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...
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...
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...
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...
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...
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...
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...