The role of surgery in the management of arthritis begins with prevention, and in the case of osteoarthritis it is important to ensure fractures and injuries are managed appropriately to prevent post-traumatic degenerative changes in joint [1-3]. Pedersen et al. discuss acute osteochondral fractures in the lower extremities and provide an approach to the identification and treatment of these in...

BACKGROUND Although arthroscopic surgical treatment of the first metatarsophalangeal (MTP) joint involves painful sesamoid excision, synovectomy, debridement, and partial cheilectomy, no gold standard treatment technique has been defined in the literature for hallux rigidus and focal osteochondral lesions. This study aimed to assess the arthroscopic treatment for early-grade focal osteochondral...

Preserving the ability to maintain an active lifestyle is a major concern in the reconstruction of the knee in young patients. For the healthy individual who desires to maintain a relatively active lifestyle, fresh osteochondral allografts may serve as an alternative to total joint reconstruction. The use of fresh allografts is primarily indicated in the patient suffering from a traumatic loss ...

INTRODUCTION: In varus osteoarthritis, patients often present with variable amounts of denuded articular cartilage in the medial compartment. Further, in severe cases, the surgeon will often encounter subchondral bone loss in the distal femur, the medial femoral condyle, and medial tibial plateau, of varying amounts. These osteochondral defects will ultimately lead to varus angulation, and ofte...

We compared fibrin sealant, polydioxanone (PDS) pins and Kirschner wires in the fixation of osteochondral fractures in rabbit knees. Standardised osteochondral fractures of the right medial femoral condyle were made in 56 adult New Zealand white rabbits. There were equal groups of control knees, and those which had Kirschner-wire, fibrin-sealant or PDS-pin fixation. No external immobilisation w...

We report a new method of fixation of osteochondral fractures using tissue adhesive butyl-2-cyanoacrylate. A traumatic osteochondral fracture of the patella and the medial femoral condyle in a 29-year-old male was fixed with butyl-2-cyanoacrylate tissue adhesive. At 6 month follow-up the fractures showed complete healing, the postoperative knee score was 84 and the functional knee score 90 (Kne...

BACKGROUND Osteochondral lesions of the distal tibial plafond are uncommon compared with talar lesions. The objective of this study was to assess functional and magnetic resonance imaging (MRI) outcomes following microfracture for tibial osteochondral lesions. METHODS Thirty-one tibial osteochondral lesions in thirty-one ankles underwent arthroscopic microfracture. The Foot and Ankle Outcome ...

PURPOSE to describe an original technique and preliminary results of bipolar fresh osteochondral allograft implantation for the treatment of end-stage glenohumeral osteoarthritis. METHODS three patients underwent bipolar fresh osteochondral allograft implantation to the shoulder. Clinical and radiographical evaluations were carried out periodically through to final follow-up. RESULTS consta...

OBJECTIVE To evaluate patients affected by osteochondral fractures of the talus who were treated surgically by means of arthroscopy-assisted microperforation. METHODS A retrospective study was carried out on 24 patients with osteochondral lesions of the talus who underwent microperforation assisted by videoarthroscopy of the ankle. They were evaluated using the American Orthopaedic Foot and A...

Osteochondritis dissecans (OCD) of the femoral head is not a common source of hip pain. Hip arthroscopy is becoming a more frequent indication for intra-articular pathologies of the hip. Osteochondral autologous transplantation is a promising technique that theoretically can reconstruct osteochondral lesions of the femoral head. We describe our technique for arthroscopic antegrade osteochondral...