Chondral Disease of the Knee - part 8 pps
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 1 ppsx
... Medical Center USA
Chicago, IL 60612
USA
Library of Congress Control Number: 2005937074
ISBN
10:
0-3 8 7-3 083 0-X
ISBN
13:
97 8- 0 38 7-3 083 0-2
© 2006 Springer Science+Business Media, LLC
All ... 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 rig...
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 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 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
... within the patella and
an 8 mm by 8 mm, grade IV chondral defect of
the weight-bearing zone of the medial femoral
condyle were identified. The pateUar lesion was
treated with a formal microfracture ... osteochondritis dissecans of the lateral
femoral condyle of the left knee with a large
cavitary defect involving more than 5 to 8 mm
of subchondral bone at...
Chondral Disease of the Knee - part 5 docx
... version
www.adultpdf.com
Case 18
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 ... Univer-
sity Medical Center, Chicago, Illinois, USA
CHIEF COMPLAINT AND
HISTORY OF PRESENT
ILLNESS
The patient is a 3 8- year-old man with a com-
plaint...
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 ... heaUng of the
osteotomy and excellent incorporation
of the medial femoral condyle osteo-
chondral allograft with preservation of
the medial joint space.
went progressi...
Chondral Disease of the Knee - part 9 potx
... performed in light of the extensive nature
of the chondrosis, uncontained lesions, and pro-
gression to bipolar status. At the time of defin-
itive treatment, the arthritic regions of the
distal femoral ... allograft
and of the keyhole bone bridge from the lateral
meniscus transplant (Figure C32.7).
DECISION-MAKING FACTORS
debridement and microfracture of the...
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 ...
osteochondral allograft transplantation. In
addition, the potential for eliminating the
need for ligament reconstruction altogether
because of the corrective effects of...
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