grade 4 medial patella r defect 3 cm circumference in a 19 year old male student. Normal TT:TG diatance. MPFL intact. No history of injury.
cartilage mapping at 6 months. this was done in 2010 has good function till date 10 years followup.
medial full thickness defect means patellofemoral arhtroplasty/ ACI may be the best available option. distal re- alignment osteotomies will have bad results here, wont they? (? will anteriorization work?)
ReplyDeleteanteriorisation might offload to a certain extent. i beleieve the choice will be ACI. The results in patella are not as good as in femur. we did use chondron and at 5 months he is doing fine. we would do an mri at 6 months.
ReplyDeleteThe very next time I read a blog, I hope that it won't disappoint me as much as this particular one. I mean, I know it was my choice to read through, nonetheless I truly thought you'd have something helpful to say. All I hear is a bunch of crying about something you could fix if you weren't too busy searching for attention. payday loans linefeed
ReplyDeleteMy page: Payday loans
I'm pretty pleased to uncover this page. I need to to thank you for ones time for this particularly wonderful read!! I definitely enjoyed every part of it and I have you book-marked to look at new things on your blog. bad credit loans
ReplyDeleteFeel free to surf my site :: http://www.mybadcreditloans.org.uk/