Chondral Disease of the Knee - part 9 potx

... 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 ... (ACI), a 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...

Ngày tải lên: 11/08/2014, 05:20

... patellofemoral compartments without evidence of tibiofemoral subluxation. FIGURE C9.2. Intraoperative photograph of implanted tibiofemoral unicompartmental prosthesis through a min- imally ... 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 femo...

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 ... 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

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

Ngày tải lên: 11/08/2014, 05:20

... 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 ... radi- ographs demonstrate collapse of the medial femoral condyle osteochondral allograft of the left knee. The osteochondral allograft and high tibial osteotomy previousl...

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

... location and the avoidance of creating a subchondral defect. This is trial version www.adultpdf.com Case 29 99 FIGURE C 29. 1. Arthroscopic appearance of full- thickness chondral defect of medial ... 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...

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... 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 ... 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 foc...

Ngày tải lên: 11/08/2014, 05:20