background: articular cartilage injuries are a common clinical problem at the time of acl reconstruction with an incidence rate of 16-46%. good results of acl reconstruction combined with the treatment of chondral lesions have been published in some studies. method: after statistical analysis 30 patients were selected and divided in 2 groups. theffirst group consisted of 15 patients wite isolat...

INTRODUCTION Chondral fracture of the knee is relatively rare and the optimal treatment option for this injury is still controversial. In this report, we present the case of a patient with this injury who was treated surgically using the bone peg fixation procedure. There has been no literature reporting the use of this technique for fixation of a detached chondral fragment. CASE PRESENTATION...

Arthroscopic treatment of chondral lesions of the hip is challenging. Understanding the etiology is paramount not only in treating hip chondral damage but also in mitigating the cause, using arthroscopic means. This article addresses chondral lesions of the hip caused by either injury or morphologic conflicts such as seen in femoroacetabular impingement. Fractures, aseptic necrosis, and metabol...

BACKGROUND The abnormal kinematics, contact pressures, and repeated episodes of instability observed in chronic anterior cruciate ligament (ACL) deficiency suggest that these patients may be predisposed to early degenerative changes and associated pathologies such as meniscal tears and chondral injury. Injury to the cartilage and associated structures at the time of ACL rupture, in combination ...

BACKGROUND Anterior cruciate ligament (ACL) tear is the most frequent injury in alpine ski racing, and there is a high prevalence of ACL reinjury. Limited data exist on the concurrent pathology with primary ACL tears in elite alpine ski racers and the magnitude of injury progression after primary ACL reconstruction (ACLR). PURPOSE To evaluate (1) the involvement of intra-articular and multili...

Chondral injury in the knee is a unique challenge to the orthopaedic surgeon. Given the high probability of progression to knee arthrosis, the treatment of symptomatic cartilage defects of the knee has become an important surgical intervention in young, active patients. The demand for an alternative to prosthetic resurfacing has driven the trend towards biologic resurfacing and joint preservati...

BACKGROUND Isolated chondral fractures of the knee are a rare and challenging problem, typically occurring with an acute traumatic event such as dislocation of the patella or ligamentous injury. Historically, repair of unstable chondral fragments without osseous attachment has not been recommended due to concerns about the limited healing potential of cartilage. PURPOSE To describe a techniqu...

BACKGROUND Meniscal scaffolding is thought to provide functional improvement and to prevent cartilage degeneration. Advanced chondral injuries might damage the scaffold structural properties. OBJECTIVE To evaluate the influence of different degrees of articular chondral injuries on the imaging aspect of a polyurethane meniscal scaffold (Actifit®). METHODS Fifty-four patients operated on wit...

OBJECTIVES It is unclear that how long reconstruction may be delayed before additional intraarticular injuries occur. Our aim was to determine the relationship of time period from injury to surgery with the incidence of meniscal and chondral injuries recorded at the time of surgical treatment for ACL tears. The effect of sportive activity restriction, grade of chondral lesions and their locatio...