Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Jan 2013
Do fresh osteochondral allografts successfully treat femoral condyle lesions?
Fresh osteochondral allograft transplantation is an increasingly common treatment option for chondral and osteochondral lesions in the knee, but the long-term outcome is unknown. ⋯ Followup of femoral condyle osteochondral allografting demonstrated durable improvement in pain and function, with graft survivorship of 82% at 10 years.
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Clin. Orthop. Relat. Res. · Jan 2013
Surgical technique: vastus medialis and vastus lateralis as flap transfer for knee extensor mechanism deficiency.
Loss of the quadriceps tendon, patella, and patellar tendon leaves a major anterior defect that is difficult to close and compromises knee extension strength. Gastrocnemius muscle transfer does not sufficiently cover such major defects. This paper describes a new surgical technique that addresses these defects and the results of eight cases of revision TKA managed with this new technique. ⋯ The vastus medialis and vastus lateralis muscles provide adequate coverage for anterior soft tissue deficits of the knee.