Chondral Disease of the Knee

by Malek, M. Mike, M.D.

• ISBN13: 9780387308302
• ISBN10: 038730830X
• Edition: 1st
• Format: Hardcover
• Copyright: 2006-08-31
• Publisher: Springer Verlag

Summary

This book consists of case studies selected for their clinical value. The text is comprehensive and covers the spectrum of current treatments. Emphasis is placed on clarifying the overall decision-making process involved with cartilage repair and solution implementation. Cases are logically organized by increasing complexity. Injury evaluation, including physical examination and radiographic evaluation, is detailed. Comorbidities and off-label usage of technology are considered as well. Each case concludes with bulleted decision-making factors that further reinforce treatment rational. Brilliant illustrations, many in color, highlight disease presentation and arthroscopic techniques. With its practical, case-based approach, this book advances disease management through improved judgment.

Table of Contents

Introduction to Case Studies	vii
Osteochondritis dissecans of the medial femoral condyle with documented long-term natural history	1	(3)
Avascular necrosis	4	(2)
Unstable in situ osteochondritis dissecans of the medial femoral condyle	6	(4)
Unstable in situ osteochondritis dissecans of the medial femoral condyle	10	(4)
Concomitant medial meniscus tear and focal chondral defect of the medial femoral condyle	14	(3)
Isolated focal chondral defect of the medial femoral condyle	17	(3)
Symptomatic focal chondral defect of lateral femoral condyle	20	(3)
Isolated small grade IV medial femoral condyle chondral lesion	23	(2)
Isolated medial compartment osteoarthritis	25	(3)
Unicompartmental bipolar disease	28	(3)
Medial femoral condyle focal chondral defect	31	(4)
Lateral femoral condyle focal chondral defect	35	(3)
Focal chondral defect of the medial femoral condyle and patella	38	(4)
Lateral femoral condyle osteochondritis dissecans	42	(4)
Focal chondral defect of the lateral femoral condyle	46	(4)
Contained focal chondral defect of the medial femoral condyle	50	(5)
Contained focal chondral defect of the medial femoral condyle	55	(3)
Osteochondritis dissecans of the medial femoral condyle	58	(4)
Osteochondritis dissecans of the lateral femoral condyle	62	(4)
Uncontained focal chondral defect of the lateral trochlea	66	(4)
Failed prior fresh osteochondral allograft of the medial femoral condyle	70	(3)
Lateral meniscus deficiency	73	(3)
Prior medial meniscectomy and focal chondral defect medial femoral condyle	76	(4)
Failed anterior cruciate ligament reconstruction with medial meniscus deficiency	80	(4)
Advanced patellofemoral arthritis	84	(3)
Multiple chondral defects	87	(4)
Traumatic patellar instability with focal chondral defect of the patella	91	(4)
Focal chondral defect patella	95	(3)
Focal chondral defect medial femoral condyle and varus alignment	98	(4)
ACL deficiency with symptomatic trochlear and medial femoral condyle chondral lesions	102	(5)
Focal chondral defect of the medial femoral condyle in a previously meniscectomized knee	107	(4)
Focal chondral defect lateral femoral condyle, prior lateral meniscectomy, and small focal chondral defect lateral tibial plateau	111	(5)
Bipolar focal chondral defects of the patellofemoral joint with patellar instability	116	(4)
Bipolar focal chondral defects of the patellofemoral joint	120	(4)
Lateral compartment tibiofemoral degenerative arthrosis	124	(4)
Isolated patellofemoral arthritis	128	(4)
Posttraumatic medial femoral condyle defect, varus instability, and deformity with significant motion loss	132	(6)
Chondral defects with prior medial and lateral meniscectomy and varus alignment	138	(5)
Index	143