Nelle lesioni di 2 e 3 grado della classificazione di outerbridge 3 caratteriz zate da aspetto. The limited intrinsic healing potential of human articular cartilage is a wellknown problem in orthopedic surgery. Ferkel et al5 introduced the term osteochondral lesions of the talus. A significant number of osteochondral injuries involve the midlateral weightbearing portion of the lateral femoral condyle and are more posterior than would be expected after transient dislocation of the patella.
The most common and symptomatic lesion is osteochondritis dissecans, and care should be taken to distinguish osteochondritis dissecans from normal variations of subchonfig. Chow jc, hantes me, houle jb et al arthroscopic autogenous osteochondral. An osteochondral lesion is seen at the posterior weightbearing surface of the medial femoral condyle. Statistical analysis was performed with epi2000 program, using chisquared test. Osteochondral lesions encompass a wide spectrum of disorders, including normal variations of femoral condylar ossification. Synthetic osteochondral grafts have been used for the treatment of. Unstable osteochondritis dissecans of the medial femoral. Download scientific diagram osteochondral defect to medial femoral condyle. Barth2, in 1898, considered the osteochondral lesion of the talus as being an. Diagnosis and treatment of osteochondral lesions of the.
Osteochondral defects of the lateral femoral condyle are a common sequela after transient lateral patellar dislocation. Pdf enhanced microfracture techniques in cartilage knee. The osteochondral autologous grafting system known as mosaicplasty involves obtaining cylindrical cartilage and bone grafts, most commonly originating from the lateral femoral condyles, and transferring them to areas of osteochondral lesion in the loading surface of the talar dome. Thus a variety of surgical techniques have been developed to reduce joint pain. Trattamento artroscopico delle lesioni condrali del ginocchio con. Fixation of osteochondral lesions of the talus using cortical bone pegs. Chondral defects were located in the medial femoral condyle n 2, patella n 2. Femoral condyle osteochondral fracture treated with bone. Mosaicplasty technique in the treatment of isolated knee femoral. Os defeitos condrais estavam no condilo femoral medial n 2, na patela n. The traditional staging system for ocls of the talus is the berndt and harty 2 classification based on radiographic findings. A fluidfilled break in the articular surface arrowhead is present, and there is fluid at the anterior interface of the fragment arrow. Osteochondral defect to medial femoral condyle after debridement. Focal osteochondral lesions of the knee are found in two thirds of.
Arthroscopic treatment of osteochondritis dissecans of the talus. To include all these causes and others, for example, idiopathic osteonecrosis, the term osteochondral lesions ocls provides the most cautious terminology. Deciphering the association of cytokines, chemokines. Trattamento delle osteonecrosi dei condili femorali youmed. Giorgio maria calori head of the division of reconstructive orthopaedic surgery and riak managements, istituto ortopedico gaetano pini, milan. Mri of osteochondral defects of the lateral femoral.