Chondral Resurfacing of Articular Cartilage Defects in the Knee with the Microfracture Technique by...
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Transcript of Chondral Resurfacing of Articular Cartilage Defects in the Knee with the Microfracture Technique by...
Chondral Resurfacing of Articular Cartilage Defects in the Knee with the Microfracture Technique
by Kai Mithoefer, Riley J. Williams, Russell F. Warren, Hollis G. Potter, Christopher R. Spock, Edward C. Jones, Thomas L. Wickiewicz, and Robert G. Marx
JBJS Essent Surg TechVolume os-88(1 suppl 2):294-304
September 1, 2006
©2006 by The Journal of Bone and Joint Surgery, Inc.
Arthroscopic image demonstrating the primary presentation of a femoral cartilage lesion with a large marginal cartilage flap on probing.
Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88:294-304
©2006 by The Journal of Bone and Joint Surgery, Inc.
Schematic drawing demonstrating the typical presentation of an articular cartilage lesion upon primary arthroscopic inspection.
Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88:294-304
©2006 by The Journal of Bone and Joint Surgery, Inc.
Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88:294-304
©2006 by The Journal of Bone and Joint Surgery, Inc.
Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88:294-304
©2006 by The Journal of Bone and Joint Surgery, Inc.
Schematic drawing illustrating the range of motion during which the cartilage defect articulates with the opposing joint surface.
Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88:294-304
©2006 by The Journal of Bone and Joint Surgery, Inc.
Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88:294-304
©2006 by The Journal of Bone and Joint Surgery, Inc.
Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88:294-304
©2006 by The Journal of Bone and Joint Surgery, Inc.
Sagittal fast-spin-echo magnetic resonance image demonstrating marked subchondral overgrowth (arrow) with resultant thinning of the overlying repair cartilage.
Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88:294-304
©2006 by The Journal of Bone and Joint Surgery, Inc.
Photograph showing arthroscopic awl tips with conical shape angulations of 30°, 45°, and 90°.
Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88:294-304
©2006 by The Journal of Bone and Joint Surgery, Inc.
Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88:294-304
©2006 by The Journal of Bone and Joint Surgery, Inc.
Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88:294-304
©2006 by The Journal of Bone and Joint Surgery, Inc.
Drawing illustrating the technique for microfracture of patellar lesions.
Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88:294-304
©2006 by The Journal of Bone and Joint Surgery, Inc.
Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88:294-304
©2006 by The Journal of Bone and Joint Surgery, Inc.
Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88:294-304
©2006 by The Journal of Bone and Joint Surgery, Inc.
Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88:294-304
©2006 by The Journal of Bone and Joint Surgery, Inc.
Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88:294-304
©2006 by The Journal of Bone and Joint Surgery, Inc.
Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88:294-304
©2006 by The Journal of Bone and Joint Surgery, Inc.
Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88:294-304
©2006 by The Journal of Bone and Joint Surgery, Inc.
Sagittal fast-spin-echo magnetic resonance image of the knee showing a high-grade lesion (arrows) of the medial femoral condyle before (Fig. 12-A) and after cartilage repair with
microfracture chondroplasty (Fig. 12-B).
Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88:294-304
©2006 by The Journal of Bone and Joint Surgery, Inc.
Arthroscopic appearance of the repaired cartilage defect sixteen months after microfracture.
Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88:294-304
©2006 by The Journal of Bone and Joint Surgery, Inc.