Osteochondral Allograft Transplantation of the Lateral Femoral Condyle and Distal Femoral Osteotomy in the Setting of Failed Osteochondritis Dissecans Fixation
Swindell, H.W. (Rush University Medical Center)
Kerzner, B. (Rush University Medical Center)
Obioha, O.A. (Rush University Medical Center)
Fortier, L.M. (Rush University Medical Center)
Khan, Z.A. (Rush University Medical Center)
Dasari, S.P. (Rush University Medical Center)
Mameri, E.S. (Rush University Medical Center)
Gelber Ghertner, Pablo Eduardo (Institut d'Investigació Biomèdica Sant Pau)
Chahla, J. (Rush University Medical Center)
Universitat Autònoma de Barcelona

Date:	2022
Abstract:	Osteochondritis dissecans (OCD) is a pathologic condition, most commonly affecting the knee joint in adolescents and young adults, although pathology can also be found at the elbow and ankle. Lesions to the medial femoral condyle are classically associated with varus alignment, while lesions to the lateral femoral condyle are seen in patients with valgus malalignment. Common risk factors for failed fixation of OCD lesions include unstable lesions to the lateral femoral condyle, screw breakage, older age, and closed physes. The purpose of this technical note is to describe the preoperative planning and step-by-step surgical approach for treatment of failed fixation of an OCD lesion of the posterior aspect of the lateral femoral condyle in young, active patients using an osteochondral allograft, a lateral opening wedge distal femoral osteotomy to correct malalignment, and a tibial tubercle osteotomy to facilitate access to the lesion.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Published in:	Arthroscopy Techniques, Vol. 11 Núm. 7 (july 2022) , p. e1301-e1310, ISSN 2212-6287

DOI: 10.1016/j.eats.2022.03.014
PMID: 35936851

10 p, 2.5 MB

The record appears in these collections:
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles