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...

©2005 British Editorial Society of Bone and Joint Surgery doi:10.1302/0301-620X.87B4. 15971 $2.00 J Bone Joint Surg [Br] 2005;87-B:445-9. Chondral injuries involving the knee are common. In a recent study of 993 consecutive arthroscopies scored using the International Cartilage Repair Society (ICRS) knee evaluation form, 1 articular cartilage pathology was found in 66% of patients, while 11% ha...

INTRODUCTION Anterior cruciate ligament rupture is a common injury in sports practice. It can be associated to many other injuries; the most frequent ones include meniscal and chondral injuries. Those injuries may be acute as a result of trauma, or chronic as a result of instability occasioned by anterior cruciate ligament injuries(1). Menisci play an important functional role in the knee, beca...

An assortment of clinical trials have been done presenting the effectiveness of autologous matrix-induced chondrogenesis (AMIC) for the regeneration of chondral leasions. The purpose of the study was to underline the accessability of the acetabulum and the femoral head through the known portals and prove i) the feasibility of placing the AMIC in the different zones of the hip joint and ii) chec...

INTRODUCTION AND OBJECTIVES Clinical and functional assessment comparing cases of full-thickness chondral defects (OC) treated with mosaicplasty or mosaicplasty covered with periosteum (mosaicambium). METHODS 20 knees with chondral defect, (10 mosaicplasty/10 mosaicambium) were operated between 1999 and 2005. All patients were clinically assessed preoperatively using the ICRS scale, VAS scale...

The ability of mesenchymal stem cells (MSCs) to transdifferentiate into a desired cell lineage has captured the imagination of scientists and clinicians alike. The limited ability for chondrocytes to regenerate in chondral injuries has raised the concept of using MSCs to help regenerate and repair damaged tissue. The expansion of cells in a laboratory setting to be delivered back to the patient...

Management of injuries to the articular cartilage is complex and challenging; it becomes especially problematic in weight-bearing joints such as the hip. Several causes of articular cartilage damage have been described, including trauma, labral tears, and femoroacetabular impingement, among others. Because articular cartilage has little capacity for healing, nonsurgical management options are l...

Objective. The aim of this study was to evaluate interobserver reliability in the presence of chondral injuries of the knee among radiologists, orthopaedic surgeons, radiologists, and orthopaedic surgeons. Methods. This was a prospective, web-based multi-institutional survey, consisting of 6 magnetic resonance exams of knee chondral injuries and a questionnaire to be completed by the participan...

Through the ability of magnetic resonance imaging (MRI) to characterize soft tissue noninvasively, it has become an excellent method for evaluating cartilage. The development of new and faster methods allowed increased resolution and contrast in evaluating chondral structure, with greater diagnostic accuracy. In addition, physiological techniques for cartilage assessment that can detect early c...