In cases with extensive chondral patellofemoral lesions and even isolated osteoarthritis of the patellofemoral joint in young patients, we found the alternative of fresh osteochondral transplantation. In this way, we avoid the placement of a patellofemoral prosthesis in patients who do not yet have a chronological or biological age for it.
48yo male pt who had had an Gustilo IIIb open fracture of the left patella and lateral tibial plateau, including a large loss of soft tissue and most of the lateral femoral condyle. A soft tissue vascularized flap was needed to cover the defect. The surgical steps were: -Hardware removal -Tibial tuberosity osteotomy to enlarge [...]
This is the surgical technique performed in a 36-year-old patient who, after a medial subtotal meniscectomy performed 4 years ago, began with invalidating medial knee pain. In this compartment she developed early osteoarthritis and a varus deviation of 4º. As such, the following surgical techniques were performed: a) FRESH osteochondral transplantation with the Arthrex BioUni [...]
In cases of contained injuries of the articular cartilage of the knee, many treatment's alternatives can be considered. Some involve 2 surgical procedures. A technique that can be performed in a single surgery is the use of scaffolds that help the different products that are combined to stay in the injury space without getting leaked [...]
This is the case of a 32-year-old patient who had had 6 previous meniscal surgeries including a meniscal transplantation 13 years earlier. She presented with invalidating pain, and she was unable to perform activities of daily living. She use to need strong pain killers as well as crutches, since she had had a motorcycle accident [...]
On Saturday May 16, 2020, the webinar organized by the Colombian ACCART took place. In it, doctors Brian Cole, Ramón Cugat and Pablo Gelber spoke about the different treatment options for knee joint cartilage. In this video you can see the talks given by Dr Cole (in English) and Dr Gelber (in Spanish).
This Thursday, March 19, during the strict confinement due to the pandemic that affects worldwide due to the coronavirus, at the online medical teaching platform Aware Doctor, Doctor Gelber offered his enormous experience in fresh osteochondral allograft transplantations of the knee. This topic, in which he is a world reference, is the most appropriate treatment [...]
This is a case of a very large loose OCD (Osteochondritis dissecans) of the lateral femoral condyle of the right knee of an 18-year-old soccer player. After slight contusion, he started with recurrent effusion and also disabling pain in the lateral aspect of the knee. The only alternative other to a prosthesis in order to [...]
A 42-year-old patient who, despite having undergone 10 surgeries, persisted with continuous locking and a invalidating pain in his left knee that made practically impossible for him to perform his daily life and work activities (He works as a nurse). He had a great irregularity in the lateral femoral condyle (lateral aspect) and in the [...]
In young patients with invalidating knee pain due to early osteoarthritis of the patellofemoral joint (anterior region) secondary to dysplasia (alteration in the shape) of this area of the knee, fresh osteochondral transplantation of both articular surfaces is the best alternative. We thus avoid the implantation of a prosthesis at very young ages.