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Retrograde cartilage transplantation on the proximal and distal tibia

, : Retrograde cartilage transplantation on the proximal and distal tibia. Arthroscopy 20(1): 73-78

The authors, with experience with more than 400 osteochondral autograft transplantation (OATS) cases since 1996, report a new technique of a retrograde osteochondral autograft transplantation for the treatment of isolated osteochondral lesions of the proximal and the distal tibia started in 1999. We treated 5 patients, 3 who presented with painful traumatic chondral defects in the central weight-bearing portion of the tibial plateau (1 in the medial and 2 in the lateral compartment), and 2 who presented with painful chondral lesions on the distal tibia. An anterior cruciate ligament (ACL) drill guide positioned in the center of the defect was used to accurately prepare the cartilage surface, in one case arthroscopically and in 4 cases through an open incision. A guide-wire was introduced and drilled through the tibia, and a cannulated reamer equal to the diameter of the defect was advanced. An osteochondral cylinder was harvested from the non-weight-bearing zone of the femoral trochlea at the angle that corresponded to the angle on the ACL drill guide. The autograft was inserted in a retrograde fashion from the cortical window into the tibial tunnel to be flush with the articular surface in press-fit technique. The remaining tunnel defect between the cortical window on the tibia and the distal aspect of the autograft was filled with a cancellous bony cylinder and secured with a diagonal bioabsorbable screw. A concomitant varus deformity with the lesion on the medial tibial plateau was corrected in the same surgery using a high tibial osteotomy to relieve stress on the graft. Patients were followed up for 6 to 35 months. A complete healing of the grafts was seen in control magnetic resonance images (MRIs). All patients were satisfied with the surgery. Control arthroscopies showed the osteochondral cylinders well integrated and flush with the articular surface.

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Accession: 012516272

PMID: 14716283

DOI: 10.1016/j.arthro.2003.11.016

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Gao YuGan; Gao XiuHua; Tong YuRen; Li GuangYu; Yang FuHe, 2000: Effects of dietary Ca level on some biochemical indexes of blood in Sika deer. In a study on the effects of Ca level and Ca/P ratio on some biochemical indexes of blood in Sika deer, 37 deer of 6 years old with a similar antler yield were divided into 4 groups, with 10 in group 1 and 9 in the other 3 groups, respectively. Th...

Crandall P.G.; Upadhyaya J.K.; Davis K.C., 1990: Portable low cost equipment for small scale fruit juice processing. Simple, low-cost portable equipment to extract citrus juice, and pasteurize it and other fruit juices by passing through a coil of stainless steel tube in boiling water was designed, constructed and tested. Temperature reached was varied by alteri...

Hudak, Anne M.; Konstadt, Steven N., 1995: Aortic Intussusception A Rare Complication of Aortic Dissection. Anesthesiology (Hagerstown) 82(5): 1292-1294

Burgess Champoux, Teri; Tucker, Samantha; Vickers, Zata; Marquart, Len; Reicks, Marla, 2004: A qualitative study of perceptions of children, parents and teachers regarding whole grain foods Implications for a school-based intervention. Whole grain (WG) foods are protective against some chronic diseases but Americans consume only about one-third of recommended daily servings. A series of 12 focus group interviews were conducted with children (n=40), parents (n=21) and teachers (n...

Buc Caron M H.; Lamblin D.; Kellermann O., 1989: F9 teratocarcinoma aggregates express villin upon differentiation into visceral endoderm like cells. The visceral endoderm of the mouse embryo is a polarized epithelium which has recently been shown to express villin, a major actin binding component of absorptive epitheliums. We report here that villin is induced during differentiation of aggrega...

Hsieh, S. T.; Chen, H. C.; Hsu, P. K.; Et Al., 1970: The effects of several fertilizers to flue-cured tobacco in Taiwan. Differences in response to mineral fertilizers supplying 50 kg N plus 50 to 150 kg P2O5 plus 150 to 200 kg K2O, and rape-seed cake supplying 50 kg N plus 50 kg P2O5 plus 150 kg K2O were not significant.

Lilge L.; Radtke W.; Nishioka N.S., 1989: Pulsed holmium laser ablation of cardiac valves. Ablation efficiency and residual thermal damage produced by pulsed holmium laser radiation were investigated in vitro for bovine mitral valves and human calcified and noncalcified cardiac valves. Low-OH quartz fibers (200 and 600 .mu.m core diamet...

Gangopadhyay, M.; Chakrabarty, T., 1993: A synopsis of Anogeissus Guill and Perr for Indian Subcontinent. The genus Anogeissus (DC.) Guill. and Perr. is represented by three species in the Indian Subcontinent. A. fischeri Gang. and T. Chakrab, is reduced to a variety of A. acuminata (Roxb. ex DC.) Guill. and Perr. while A. pendula Edgew. is combined w...

Bernis, F., 1966: Penetracion de Laras argentatus hasta la provincia de Toledo. Ardeola, 12: 239

MacClintock Paul, 1936: Investigations on the varved sediments in western Nebraska and South Dakota. Year Book - Carnegie Institution of Washington Pages 325-326