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...

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 ... 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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... 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...

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... 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...

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... 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...

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... 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...

Ngày tải lên: 11/08/2014, 05:20

... 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...

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... 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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... 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