Treatment of osteochondral lesions of the knee remains a major challenge in orthopedic surgery. Recently established procedures like autologous chondrocyte implantation or matrix-associated chondrocyte implantation yield good results, but include the disadvantage of two-step procedures. The purpose of this study was to evaluate the clinical and magnetic resonance imaging outcome of repairs of o...

INTRODUCTION The rationale for operative treatment of depressed tibial plateau fractures is anatomic reduction, stable fixation and grafting. Grafting options include autogenous bone graft or bone substitutes. METHODS The autograft group included 18 patients with depressed tibial plateau fractures treated with autogenous bone grafting from the ipsilateral femoral condyle following open reduct...

109 Bone grafting is an important aspect of foot and ankle surgery.1 Despite the long history and widespread use of bone grafts and substitutes,2 there have been few studies documenting patterns of utilization of bone grafting by podiatric surgeons. A survey on the use of bone grafts among orthopedists was reported in 1984 by Miller et al.3 The present study was undertaken in order to determine...

Implant surgeon should take advantage of advances in instrumentation and grafting biomaterials to augment the defi cient ridges. Biotechnology has greatly improved our ability to predict and reconstruct osseous defects. In addition to present specifi c bone grafting techniques used to restore hard tissue volume defects at the sites, the volume of augmentation defi nes the procedure. Signifi can...

INTRODUCTION Osteochondral grafts have become popular for treating small, isolated and full-thickness cartilage lesions. It is recommended that a slightly oversized, rather than an exact-sized, osteochondral plug is transplanted to achieve a tight fit. Consequently, impacting forces are required to insert the osteochondral plug into the recipient site. However, it remains controversial whether ...

Focal arthritic defects in the knee lead to pain, swelling, and dysfunction. Treatment of the defects has included drilling, abrasion, and grafting. This report describes our surgical technique of autogenous articular cartilage grafting of aLrthritic and traumatic articular cartilage lesions. Articular cartilage grafting can be performed as a single arthroscopic outpatient procedure. The mixtur...

Articular cartilage lesions of the knee are common in active and young population.1 Curl et al2 reviewed more than 30,000 patients treated with knee arthroscopy, reporting chondral lesions in 63% of cases. Arøen et al,3 in a group of approximately a thousand patients undergoing knee arthroscopy with a mean age of 35 years, found a full-thickness cartilage lesion suitable for cartilage repair in...

Focal cartilage defects of articular surface-traumatic and degenerative are difficult to treat, thus a variety of surgical techniques have been developed and reported for treatment of such defects. Procedures such as Priddies perforations, microfracture, abrasion chondroplasty have shown long-term results which are often less than adequate. One of the reasons is that all these techniques lead t...