Rationale: Osteochondral fracture (OCF) in weight-bearing area of lateral femoral condyle (LFC) is a rare combined injury caused by patellar dislocation.
Patient Concerns: A 15-year-old female student accidentally sprained her right knee while participating in sports activities. The patient felt pain in his right knee and limited movement. After hospitalization, the patients underwent computed tomography scan and magnetic resonance examination.
Diagnosis: According to the imaging results, patellar dislocation combined with OCF of LFC was considered in diagnosis.
Interventions: Through the lateral parapatellar approach, we reduced the osteochondral mass and bundled it with absorbable sutures of anchors.
Outcomes: The functional and radiographic outcome were satisfactory at 18 months after operation.
Lessons: Anchor absorbable suture bridge fixation for this kind of OCF is not only effective, but also economical.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9771171 | PMC |
http://dx.doi.org/10.1097/MD.0000000000032104 | DOI Listing |
Arthrosc Tech
November 2024
Orthopaedic Department, Faculty of Medicine in Assiut, Al-Azhar University, Cairo, Egypt.
Osteochondral lesions of the talus are chondral lesions affecting the subchondral bone mostly due to acute ankle trauma, including either sprains or fractures. After failure of conservative treatment, operative treatment is necessary, with different surgical techniques described in the literature. We describe a single-step osteochondral autograft transfer to access the medial talar dome lesion that avoids the need for a medial malleolar osteotomy and therefore eliminates morbidity while reducing operative time.
View Article and Find Full Text PDFCartilage
December 2024
Department of Orthopaedic Surgery, LSU Health Shreveport, Shreveport, LA, USA.
Introduction: Distal femoral cartilage lesions can be treated using osteochondral autograft transfer (OAT). When impacting plugs into a recipient site, the cartilage may fracture. This study aimed to analyze OAT donor regions and impaction energies to identify characteristics that lead to fracture.
View Article and Find Full Text PDFOrthop J Sports Med
December 2024
Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Background: Patellar dislocation is a common knee injury and up to 35% of those who dislocate the patella can develop recurrent patellar instability. In the setting of recurrent instability, medial patellofemoral ligament (MPFL) reconstruction is often performed to restore knee stability. There has been recent interest in patient and surgical factors that influence outcomes of MPFL reconstruction.
View Article and Find Full Text PDFSports Med Arthrosc Rev
December 2024
Division of Orthopedic Surgery and Sports Medicine, Department of Surgery, Ann and Robert Lurie Children's Hospital, Chicago, IL.
Similar to other fields, there is growing evidence of disparities in pediatric sports medicine. For children and adolescents with knee injuries, disparities persist along the lines of sex, gender, race, ethnicity, insurance, socioeconomic status, and other determinants. These factors influence the evaluation, treatment, and outcomes for a variety of knee pathologies, including anterior cruciate ligament ruptures, meniscus tears, osteochondritis dissecans, cartilage injuries, and tibial spine fractures.
View Article and Find Full Text PDFInt Orthop
December 2024
Department of Foot and Ankle Surgery, Xuzhou Renci Hospital, Xuzhou, 221000, Jiangsu, China.
Purpose: To explore the efficacy and feasibility of arthroscopy combined with bone tunnel technique in treating Berndt and Harty stage III or IV osteochondral lesions of the talus (OLT).
Methods: A retrospective analysis was conducted on the clinical data of 21 patients with Berndt and Harty stage III or IV OLT who underwent surgical treatment at our institution from September 2017 to September 2022. Under arthroscopy, the displaced talar osteochondral lesion was restored.
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