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osteolysis and (B) MRI sagittal view with high tumour signal intensity in T2 TIRM sequences of a juvenile bone cyst in the right calcaneus in a 15-year-old patient. (C) A lateral approach was used for enucleation, curettage and defect filling with a biphasic
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patients’ activity, the main criteria for treatment choice remain lesion size, defect site, and bone loss ( 18 , 19 ). In cases of bone involvement, OCT is indicated for small (< 2 cm 2 ) defects, and allografts or even sandwich ACI (an ACI lying on bone
Bucharest Emergency Clinical Hospital, Romania
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University Emergency Hospital Bucharest, Romania
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Bucharest Emergency Clinical Hospital, Romania
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University Emergency Hospital Bucharest, Romania
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University Emergency Hospital Bucharest, Romania
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space’ and, when needed, provide reconstruction material for bone defects. Based on their characteristics the two main categories of materials used for local antibiotic treatment are non-degradable and biodegradable. The most prevalent non
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93 patients diagnosed with GCTB around the knee joint ( 31 ). In that study, 69 patients were treated with extended curettage and cement filling combined subchondral bone grafting (5–10 mm) to repair bone defects, while 24 patients were treated with
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subsequent failure. The aim of this manuscript is twofold: first, to describe the current techniques in reducing impacted osteochondral defects and the available bone filling materials; and second, to present our current understanding of impacted or
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itself does not lead to pain but the osteonecrosis of the highly innervated subchondral bone underneath the cartilage defect ( 7 ). Symptoms and diagnostic OLT is a predominantly male disease, mostly affecting patients in their thirties. Patients
Institut du mouvement et de l’appareil locomoteur, Marseille, France
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lesions and superficial fissures and cracks, grade 2 involved cartilage defects with an extension to <50% of the cartilage depth, grade 3 involved lesions with an extension to >50% of the cartilage depth with no subchondral bone involvement, and grade 4
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rotation using a bone nibbler or reciprocating saw. If a medial or a lateral peripherical bone defect is present a trial augment is added under the plastic tibia on the corresponding side and the varus-valgus alignment is re-checked. The use of a porous
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drainage. Antibiotic bone cement consisting of vancomycin-loaded poly(methyl methacrylate) inserted into defect. Post-operative antibiotic treatment for 6 weeks. Lidgren 1980 37 Intramedullary reaming in all. Closed intramedullary suction
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Department of Orthopedic Surgery, National Taiwan University Hospital, Taiwan, Republic of China
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chondrocytes are placed on a membrane in the laboratory and this membrane with the chondrocytes attached to it is placed into the defect. In contrast to fibrocartilage after BMS, the ACI and MACI techniques lead to the growth of hyaline-like cartilage. Bone
