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Cartilage can be focally damaged, producing a “pot hole” in the joint surface, when the knee ligaments are injured They can occur because of a single episode of overload on the knee joint, or through several cyclical episodes of small magnitude. Treatment depends on the location and size of the defect as well as the presence of secondary degenerative changes
When the latter is present, then joint replacement is often the only feasible treatment. Chondral lesions are caused through degradation of joint cartilage, in response to metabolic, genetic, vascular and traumatic stimuli Unfortunately, an isolated cartilage defect, without any underlying bone attached to the fragment, is not commonly repairable
The cartilage is often not viable when it is separated from the bone and therefore must be removed which can be done with an arthroscopic procedure.
Articular cartilage defects of the knee comprise of a spectrum of disease entities from single, focal defects to advanced degenerative disease of articular (hyaline) cartilage Diagnosis generally requires an mri to accurately assess the location of specific defects. Understand how a chondral lesion of the lateral femoral condyle relates to acl injuries and why it matters in surgical assessment. With the advent of improved therapies for the treatment of cartilage injuries, mri has assumed an increasingly important role in the detection and evaluation of cartilage defects.
Diagnostic arthroscopy in a right knee with a 30° arthroscope identifies a lateral femoral condyle osteochondral fracture The lesion is subsequently removed and fixed via an open technique with knotless anchors and absorbable suture. We chose to reconstruct the articular surface of the lateral femoral condyle with a fresh osteochondral allograft
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