Chondral Disease of the Knee - part 10 doc
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 ... 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
radiographic evid...
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 1 ppsx
... 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...
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
la...
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, ... with a 1 0- 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 grad...
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 ... demonstrates heaUng of the
osteotomy and excellent incorporation
of the medial femoral condyle osteo-
chondral allograft with preservation of
the medial joint space.
w...
Chondral Disease of the Knee - part 7 pps
...
HISTORY OF PRESENT ILLNESS
This patient is a 43-year-old man with a 1 0- year
history of lateral- greater than medial-sided
knee pain as well as anterior knee pain. He
complains of catching ... 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...
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 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...
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