Open Traumatic Osteochondral Fracture of the Femoral Medial Condyle and Trochlea Treated by Mosaicplasty: a Case Report at 11-Year Follow-Up

HSS Journal Volume 10, Number 3 October 2014

Christian Carulli, MD

Orthopaedic Clinic, University of Florence, Italy

Fabrizio Matassi, MD

Orthopaedic Clinic, University of Florence, Italy

Stefano Soderi, MD

Orthopaedic Clinic, University of Florence, Italy

Lorenzo Nistri, MD

Orthopaedic Clinic, University of Florence, Italy

Roberto Civinini, MD

Orthopaedic Clinic, University of Florence, Italy

Massimo Innocenti, MD

Orthopaedic Clinic, University of Florence, Italy

Excerpt

The management of articular cartilage defects continues to be one of the most challenging clinical problems for orthopaedic surgeons. Many surgical procedures have been described in literature with different outcomes, but it remains difficult to compare the efficacy of these techniques because of a paucity of well-designed randomized controlled trials [2].

Bone marrow stimulation, autologous chondrocyte transplantation and autologous-plus-scaffold transplantation are common solutions for superficial articular defects but are not recommended in deep articular lesions involving the subchondral bone. On the other hand, autologous osteochondral mosaicplasty is effective in repairing deep osteochondral defects of the knee.

This article appears in HSS Journal: Volume 10, Issue 3.
View the full HSS Journal article at springerlink.com.

About the HSS Journal

HSS Journal, an academic peer-reviewed journal published three times a year, February, July and October. The Journal accepts and publishes peer reviewed articles from around the world that contribute to the advancement of the knowledge of musculoskeletal diseases and disorders.

 

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