Treatment Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1089 Nonoperative Management . . . . . . . . . . . . . . . . . . . . . . . . . 1089 Primary Repair Versus Arthroscopic Debridement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1089 Microfracture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1092 Au...

The treatment of osteochondral lesions of the talus has evolved with the development of improved imaging and arthroscopic techniques. However, the outcome of treatment for large cystic type-V lesions is poor, using conventional grafting, debridement or microfracture techniques. This retrospective study examined the outcomes of 50 patients with a cystic talar defect who were treated with arthros...

BACKGROUND Osteochondral autograft transfer (OAT) aims at restoring normal articular cartilage surface geometry and articular contact mechanics. To date, no studies have evaluated the contact mechanics of the canine stifle following OAT. Additionally, there are no studies that evaluated the role of the meniscus in contact mechanics following OAT in human or canine femorotibial joints. The objec...

PURPOSE Autogenous bone grafting continues to be considered the gold standard for sinus grafting. For the past 15 years the author has used an alternative graft material and followed-up the input/output statistic of implants to evaluate if this material results similar to the autogenous bone graft. Histomorphometric evaluations of graft materials show how much new bone is formed and if the graf...

Large talar cysts are typically associated with trauma and communicate with an osteochondral lesion. Aneurysmal bone cyst is a rare etiology of a large talar cyst. While there are many graft and surgical options, treatment consists of curettage of the talar lesion and grafting the associated talar cyst. This report presents a case of large talar body cyst without significant disruption of the t...

The study was carried out to evaluate MRI findings following osteochondral auto-grafting in femoral condyles and talus, and to correlate these with the clinical outcome. Thirty-three patients (20 knees, 13 ankles) were examined 1 to 4 years after operation using MRI, Lysholm Knee Score and Foot and Ankle Osteoarthritis Score. Clinical examination showed pain relief and improved function and MRI...

Low-energy shotgun fractures involving the arm are complex injuries. Previously published reports have emphasized various problems associated with these injuries. This case report describes a low-energy shotgun wound managed by a staged treatment protocol involving: (1) a spanning external fixator and immediate soft tissue management, followed by (2) osteosynthesis and autogenous bone grafting ...

This case report describes a unique creeping attachment that developed mesiobucally on a deep, wide recession (3 mm) and extended along the remaining buccal recession (2 mm) of a maxillary first molar with a full-crown gold restoration subsequent to autogenous gingival grafting. Complete coverage of the root by this degree of creeping attachment on a restored multirooted tooth has not previousl...