Simultaneous Osteoperiosteal Autologous Iliac Crest Graft and Lateral Meniscus Allograft Transplantation for Osteochondral Lesion with Bony Defect and Lateral Discoid Meniscus Tear
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The optimal treatment for combined osteochondritis dissecans (OCD) with considerable bony defect of the lateral femoral condyle (LFC) and torn discoid lateral meniscus is unclear. We present a case of a 15-year-old female who was a gymnast and had a large OCD lesion in the LFC combined with deficiency of the lateral meniscus. The patient underwent the “one-step” technique of osteoperiosteal autologous iliac crest graft and lateral meniscus allograft transplantation after a failure of meniscectomy with repair at another hospital. Twenty-four months postoperatively, clinical results were significantly improved. Follow-up imaging tests and second-look arthroscopy showed well incorporated structured bone graft and fibrous cartilage regeneration as well as stabilized lateral meniscus allograft. She could return to her sport without any pain or swelling. This “one-step” surgical technique is worth considering as a joint salvage procedure for massive OCD lesions with torn discoid lateral meniscus.
Abstract
The optimal treatment for combined osteochondritis dissecans (OCD) with considerable bony defect of the lateral femoral condyle (LFC) and torn discoid lateral meniscus is unclear. We present a case of a 15-year-old female who was a gymnast and had a large OCD lesion in the LFC combined with deficiency of the lateral meniscus. The patient underwent the “one-step” technique of osteoperiosteal autologous iliac crest graft and lateral meniscus allograft transplantation after a failure of meniscectomy with repair at another hospital. Twenty-four months postoperatively, clinical results were significantly improved. Follow-up imaging tests and second-look arthroscopy showed well incorporated structured bone graft and fibrous cartilage regeneration as well as stabilized lateral meniscus allograft. She could return to her sport without any pain or swelling. This “one-step” surgical technique is worth considering as a joint salvage procedure for massive OCD lesions with torn discoid lateral meniscus.
참고문헌 (10)
- Deie M, "Relationship between osteochondritis dissecans of the lateral femoral condyle and lateral menisci types", J Pediatr Orthop, 26, pp.79~82 (2006)
- Leumann A, "Bony periosteum-covered iliac crest plug transplantation for severe osteochondral lesions of the talus : a modified mosaicplasty procedure", Knee Surg Sports Traumatol Arthrosc, 22, pp.1304~1310 (2014)
- Andrish JT, "Meniscal injuries in children and adolescents : diagnosis and management", J Am Acad Orthop Surg, 4, pp.231~237 (1996)
- Valderrabano V, "Knee-to-ankle mosaicplasty for the treatment of osteochondral lesions of the ankle joint", Am J Sports Med, 37(Suppl 1), pp.105S~111S (2009)
- Espregueira-Mendes J, "Osteochondral transplantation using autografts from the upper tibio-fibular joint for the treatment of knee cartilage lesions", Knee Surg Sports Traumatol Arthrosc, 20, pp.1136~1142 (2012)
- Matsushima S, "The nature and role of periosteum in bone and cartilage regeneration", Cells Tissues Organs, 194, pp.320~325 (2011)
- O’Driscoll SW, "role of periosteum in cartilage repair", Clin Orthop Relat Res, (391 Suppl), pp.S190~S197 (2001)
- Peterson L, "Two- to 9-year outcome after autologous chondrocyte transplantation of the knee", Clin Orthop Relat Res, (374), pp.212~234 (2000)
- Knutsen G, "A randomized trial comparing autologous chondrocyte implantation with microfracture : findings at five years", J Bone Joint Surg Am, 89, pp.2105~2112 (2007)
- Gobbi A, "Osteochondral lesions of the talus : randomized controlled trial comparing chondroplasty, microfracture, and osteochondral autograft transplantation", Arthroscopy, 22, pp.1085~1092 (2006)