Preparation of Lateral Tibial Plateau Grade 4 Defect, 2 yrs Post Failed Debridement
Preparation of lateral tibial plateau grade 4 defect in symptomatic 32y/o athlete, 2 yrs post failed debridement.
Title: An Unusual Knee Cartilage Graft "Complication"
This is a patient 18 months postoperative from a revision patella allograft resurfacing utilizing Arthrex Cartiform, BMC,& patellofemoral realignment.
As you can see, there is both soft tissue/retinacular and implant overgrowth, much like the "cauliflower lesion" occasionally seen with microfracture in years past. However, noticed the excellent coverage.
After debridement, this recurrent full- thickness patellar lesion has complete coverage, other than punctate bleeding (previous/countersunk fixation anchors?). The graft margins are evident, contiguous.
Prepared to revise with MACI, it was felt with this result and centralized tracking, no further treatment was necessary.
Surgical success requiring only debridement, a "clinical win" for the patient!
Dr. Kelly Cunningham; Board Certified Orthopedic Surgeon
Austin Ortho and Biologics are your experts in Orthopedic regenerative sports medicine, utilizing cellular "stem cell" and PRP therapy for the treatment of joint and musculoskeletal problems, including shoulder, knee, hip, elbow and ankle.
Austinorthobio.com; info@austinorthobio.com
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