Multiple Osteochondral Allograft Transplantation with Concomitant Tibial Tubercle Osteotomy for Multifocal Chondral Disease of the Knee
نویسندگان
چکیده
Symptomatic patellofemoral chondral lesions are a challenging clinical entity, as these defects may result from persistent lateral patellar maltracking or repetitive microtrauma. Anteromedializing tibial tubercle osteotomy has been shown to be an effective strategy for primary and adjunctive treatment of focal or diffuse patellofemoral disease to improve the biomechanical loading environment. Similarly, osteochondral allograft transplantation has proven efficacy in physiologically young, high-demand patients with condylar or patellofemoral lesions, particularly without early arthritic progression. The authors present the surgical management of a young athlete with symptomatic tricompartmental focal chondral defects with fresh osteochondral allograft transplantation and anteromedializing tibial tubercle osteotomy.
منابع مشابه
Multicompartmental Osteochondral Allografts of Knee and Concomitant High Tibial Osteotomy
Chondral lesions of the knee can occur secondary to limb malalignment. To address these interrelated problems, a high tibial osteotomy with concomitant osteochondral allograft transfer may be performed. It is important to address these chondral lesions as they often affect the young and active population and cause morbidity in an otherwise healthy population. Although numerous approaches for th...
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realign the knee extensor mechanism. Proximally, Insall realignment or variations with imbrication of the vastus medialis obliquis (VMO) and medial patellar retinaculum, combined with a lateral release, have been used extensively to improve patellar tracking. Distal realignment, in which the tibial tubercle is typically moved medially to improve patellar alignment, is the other common approach ...
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