Lateral autologous patellar graft for the repair of large osteochondral defects of the knee in adolescents

Citation
W. Nebelung et al., Lateral autologous patellar graft for the repair of large osteochondral defects of the knee in adolescents, ZBL CHIR, 125(6), 2000, pp. 505-508
Citations number
21
Language
TEDESCO
art.tipo
Article
Categorie Soggetti
Surgery
Journal title
ZENTRALBLATT FUR CHIRURGIE
ISSN journal
0044-409X → ACNP
Volume
125
Issue
6
Year of publication
2000
Pages
505 - 508
Database
ISI
SICI code
0044-409X(2000)125:6<505:LAPGFT>2.0.ZU;2-C
Abstract
Between 1995 and 1997, five patients were operated on with a large osteocho ndral defect of the femoral condyle using the lateral third of the patella. The age of the four male and one female ranged from 18 to 23 years. Initia lly all of them suffered from an osteochondrosis dissecans which was locate d at the typical site on the medial condyle of the femur, in the maximal we ight hearing region. The follow-up study was 14 to 35 months and showed an improvement from 35 points preoperatively to 89 points postoperatively base d on the Cincinnati knee score. All patients returned to there previous pro -fession as well as mild sports activity. The postoperative examination did not show any retropatellar problems and there were no radiological signs o f the femoropatellar joint ostceothritis. For the operative treatment of la rge chondral defects at the femoral condyle autologous osteochondral transp lantation usings the lateral third of the patella seems to be a successful alternative.