Large chondral fragment of the lateral femoral condyle treated with arthroscopic internal fixation in an elite young athlete
Focal chondral lesions in the adolescent population create a particular challenge for orthopedic surgeons, and currently there exists no consensus on proper treatment. Numerous techniques for addressing focal chondral defects are employed in both pediatrics and adults, including fragment excision, d...
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2020-01-01
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doaj-421923c0d370419a9098962c0f4011442021-04-02T12:01:29ZengEDP SciencesSICOT-J2426-88872020-01-016110.1051/sicotj/2019041sicotj190066Large chondral fragment of the lateral femoral condyle treated with arthroscopic internal fixation in an elite young athleteBeckert Mitchell W.Klitzman Robert G.Focal chondral lesions in the adolescent population create a particular challenge for orthopedic surgeons, and currently there exists no consensus on proper treatment. Numerous techniques for addressing focal chondral defects are employed in both pediatrics and adults, including fragment excision, debridement and fixation, bone marrow stimulation and microfracture techniques, cell-based options, as well as chondral and osteochondral grafts. Although historical evidence is mixed, recent reports of primary fixation of displaced cartilage fragments have shown favorable results. We present a case of reduction and fixation of a large displaced cartilage lesion in an elite young tennis player. Our results, in addition to other reports mentioned in this manuscript, highlight the importance of considering primary fixation of large chondral lesions when amenable to repair.https://www.sicot-j.org/articles/sicotj/full_html/2020/01/sicotj190066/sicotj190066.html |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Beckert Mitchell W. Klitzman Robert G. |
spellingShingle |
Beckert Mitchell W. Klitzman Robert G. Large chondral fragment of the lateral femoral condyle treated with arthroscopic internal fixation in an elite young athlete SICOT-J |
author_facet |
Beckert Mitchell W. Klitzman Robert G. |
author_sort |
Beckert Mitchell W. |
title |
Large chondral fragment of the lateral femoral condyle treated with arthroscopic internal fixation in an elite young athlete |
title_short |
Large chondral fragment of the lateral femoral condyle treated with arthroscopic internal fixation in an elite young athlete |
title_full |
Large chondral fragment of the lateral femoral condyle treated with arthroscopic internal fixation in an elite young athlete |
title_fullStr |
Large chondral fragment of the lateral femoral condyle treated with arthroscopic internal fixation in an elite young athlete |
title_full_unstemmed |
Large chondral fragment of the lateral femoral condyle treated with arthroscopic internal fixation in an elite young athlete |
title_sort |
large chondral fragment of the lateral femoral condyle treated with arthroscopic internal fixation in an elite young athlete |
publisher |
EDP Sciences |
series |
SICOT-J |
issn |
2426-8887 |
publishDate |
2020-01-01 |
description |
Focal chondral lesions in the adolescent population create a particular challenge for orthopedic surgeons, and currently there exists no consensus on proper treatment. Numerous techniques for addressing focal chondral defects are employed in both pediatrics and adults, including fragment excision, debridement and fixation, bone marrow stimulation and microfracture techniques, cell-based options, as well as chondral and osteochondral grafts. Although historical evidence is mixed, recent reports of primary fixation of displaced cartilage fragments have shown favorable results. We present a case of reduction and fixation of a large displaced cartilage lesion in an elite young tennis player. Our results, in addition to other reports mentioned in this manuscript, highlight the importance of considering primary fixation of large chondral lesions when amenable to repair. |
url |
https://www.sicot-j.org/articles/sicotj/full_html/2020/01/sicotj190066/sicotj190066.html |
work_keys_str_mv |
AT beckertmitchellw largechondralfragmentofthelateralfemoralcondyletreatedwitharthroscopicinternalfixationinaneliteyoungathlete AT klitzmanrobertg largechondralfragmentofthelateralfemoralcondyletreatedwitharthroscopicinternalfixationinaneliteyoungathlete |
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