外侧半月板移植伴股骨外侧髁及滑车骨软骨移植:中期结果病例报告

Molly Canfield, Katie McMorrow, Andrew S. Bi, Joshua Wright-Chisem, Brian J. Cole
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引用次数: 0

摘要

膝关节半月板缺损和骨软骨缺损是膝关节保护主义者难以单独治疗的病变。同时,手术治疗选择可能显得有限或令人生畏;然而,最近的文献已经证明了在同一手术环境下进行半月板移植和骨软骨移植的可行性。在这个病例报告中,我们报告了一个31岁的男性,他接受了外侧半月板移植并同时移植了外侧滑车和股骨外侧髁的骨软骨,包括手术技术、术后康复和8年的临床随访,并报告了患者的结果。结论:8年的随访显示,同种异体外侧半月板移植和双骨软骨移植手术具有良好的临床效果和移植物融合,移植物存活良好,患者报告的结果良好。本病例强调了联合手术作为解决半月板缺陷和膝关节多发性骨软骨缺损的可行选择的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Lateral meniscal allograft transplantation with concomitant osteochondral allograft of the lateral femoral condyle and trochlea: a mid-term outcome case report

Introduction

Meniscal deficiency and osteochondral defects of the knee are difficult pathologies to treat in isolation for knee preservationists. In conjunction, surgical treatment options may appear limited or daunting; however recent literature has demonstrated the feasibility of performing both meniscal allograft transplantation and osteochondral allograft in the same surgical setting.

Case presentation

In this case report, we present a 31-year-old male who underwent lateral meniscal allograft transplantation with concomitant osteochondral allograft of both the lateral trochlea and lateral femoral condyle, including surgical technique, postoperative rehabilitation, and 8-year clinical follow-up with patient-reported outcomes.

Conclusion

Concomitant lateral meniscal allograft transplantation and double osteochondral allograft procedures demonstrate promising clinical outcomes and graft incorporation, as evidenced by an 8-year follow-up showing excellent graft survival and favorable patient-reported outcomes. This case highlights the potential of combined surgical approaches as a feasible option for addressing meniscal deficiency and multiple osteochondral defects of the knee.
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