tailieunhanh - Chondral Disease of the Knee - part 9

điều trị dứt khoát, cao nguyên bên chày đã được ghi nhận đã điền fibrocartilage xuất sắc của tổn thương trước đây microfractured (Hình ). Bệnh nhân đã trải qua một osteo-tươi | Case 32 113 Figure . Anteroposterior A and lateral B radiographs with a 100-mm sizing marker in place being utilized for sizing of the allograft meniscus transplant. Anteroposterior C and lateral D radiographs with magnification markers to calculate the required fresh osteochondral allograft size. definitive treatment the lateral tibial plateau was noted to have excellent fibrocartilage fill of the previously microfractured lesion Figure . The patientJindirwent a fresh osteo Figure . . This is trial version chondral allograft transplant using a 30 mm by 30 mm fresh osteochondral allograft as well as a concomitant lateral meniscus transplant Figure . Six-month second-look arthroscopy following isolated microfracture of the lateral tibial plateau demonstrates fibrocartilage fill of the central tibial plateau defect. Figure mtrapjw . me of anhrotorny t I the lateral femoral CO1 defect B for a 30 mm by 30 mm fresh osteocion i .photograph at th. d l allograft transplant CX D Arthroscopic view his is trial version01 0 allog af im by 30 mm fresh osteocion- 1 I 1 r Case 32 115 Figure . Eighteen-month postoperative 45-degree flexion weight-bearing posteroanterior A and lateral B radiographs demonstrate allograft incorporation preservation of joint space incorpo ration of the lateral meniscus transplant bone bridge and maintenance of the lateral femoral condyle contour. FOLLOW-UP Two years postoperatively the patient has minimal symptoms and has returned to playing competitive baseball at the collegiate level. Postoperative radiographs demonstrate preservation of the lateral joint space with no progressive joint space loss as well as incorporation of the osteochondral allograft and of the keyhole bone bridge from the lateral meniscus transplant Figure . DECISION-MAKING FACTORS debridement and microfracture of the tibial plateau. 2. Microfracture of the tibia given the paucity of other acceptable .