ISSN Print 2500–1094
ISSN Online 2542–1204
BIOMEDICAL JOURNAL OF PIROGOV UNIVERSITY (MOSCOW, RUSSIA)
METHOD
Knee osteochondritis desiccans: surgery algorithm
About authors
Department of Traumatology, Orthopedics and Field Surgery, Faculty of Pediatrics,
Pirogov Russian National Research Medical University, Moscow
Correspondence should be addressed: Guram D. Lazishvili
ul. Ostrovityanova, 1, Moscow, 117997; 89166575996; moc.liamg@zalmarug
Received: 2018-05-16
Accepted: 2018-06-23
Published online: 2018-06-27
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Fig. 1.А. Separated necrotic cartilage plate, arthroscopic view. B. Osteochondral defect after removal of the necrotic plate, arthroscopic view. C. Drilling holes (tunnels) in the subchondral bone. D. Subchondral bone after tunneling
Fig. 2. А. Osteochondritis desiccans affecting medial femoral condyle, MRI scan. B. Condyle defect shape and size after sanation. C. Result of 'mosaic' osteochondral autotransplantation. Donor sites filled with biocomposite bone. D.12 months after operation, MSCT scan. Osteochondral regeneration in the 'mosaic' zone went well
Fig. 3. A. Osteochondral defect of the medial femoral condyle (Koenig's disease). B. Allogeneic lyophilized femoral condyle and cylindrical donor transplants (columns, posts). C. Result of "mosaic" osteochondral allotransplantation
Fig. 4. А. Osteochondral defect of the medial femoral condyle (Koenig's disease), shape and size. B. Result of combined osteochondral autotransplantation. A — auto, E — allo
Fig. 5. А. Osteochondral defect of the medial femoral condyle shape and size after sanation. B. Subchondral bone after tunneling. C. Collagen matrix implantation. D. 1.4 years after surgery: condyle defect is completely covered by stable cartilaginous tissue (arthroscopic view)
