treatment of an articular lesion of the lateral tibial plateau utilizing a tibial...

6
Treatment of an Articular Lesion of the Lateral Tibial Plateau Utilizing a Tibial “Drawer- Exposure” Osteotomy and Osteochondral Allograft Transplant by Cory J. Lamblin, and Christopher J. Wahl J Bone Joint Surg Am Volume 93(12):e66 June 15, 2011 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Upload: arthur-wells

Post on 18-Dec-2015

216 views

Category:

Documents


4 download

TRANSCRIPT

Page 1: Treatment of an Articular Lesion of the Lateral Tibial Plateau Utilizing a Tibial “Drawer-Exposure” Osteotomy and Osteochondral Allograft Transplant by

Treatment of an Articular Lesion of the Lateral Tibial Plateau Utilizing a Tibial “Drawer-Exposure” Osteotomy

and Osteochondral Allograft Transplant

by Cory J. Lamblin, and Christopher J. Wahl

J Bone Joint Surg AmVolume 93(12):e66

June 15, 2011

©2011 by The Journal of Bone and Joint Surgery, Inc.

Page 2: Treatment of an Articular Lesion of the Lateral Tibial Plateau Utilizing a Tibial “Drawer-Exposure” Osteotomy and Osteochondral Allograft Transplant by

Sagittal (A) and coronal (B) T1-weighted MRIs showing the osteonecrosis in the lateral tibial plateau (white arrow).

Cory J. Lamblin, and Christopher J. Wahl J Bone Joint Surg Am 2011;93:e66

©2011 by The Journal of Bone and Joint Surgery, Inc.

Page 3: Treatment of an Articular Lesion of the Lateral Tibial Plateau Utilizing a Tibial “Drawer-Exposure” Osteotomy and Osteochondral Allograft Transplant by

Coronal (A) and sagittal (B) CT images of the knee six months after attempted transepiphyseal bone-grafting to the avascular defect (white arrow).

Cory J. Lamblin, and Christopher J. Wahl J Bone Joint Surg Am 2011;93:e66

©2011 by The Journal of Bone and Joint Surgery, Inc.

Page 4: Treatment of an Articular Lesion of the Lateral Tibial Plateau Utilizing a Tibial “Drawer-Exposure” Osteotomy and Osteochondral Allograft Transplant by

Trial procedure performed on cadaveric specimen.

Cory J. Lamblin, and Christopher J. Wahl J Bone Joint Surg Am 2011;93:e66

©2011 by The Journal of Bone and Joint Surgery, Inc.

Page 5: Treatment of an Articular Lesion of the Lateral Tibial Plateau Utilizing a Tibial “Drawer-Exposure” Osteotomy and Osteochondral Allograft Transplant by

Fig. 4, A through F Intraoperative images from the drawer procedure.

Cory J. Lamblin, and Christopher J. Wahl J Bone Joint Surg Am 2011;93:e66

©2011 by The Journal of Bone and Joint Surgery, Inc.

Page 6: Treatment of an Articular Lesion of the Lateral Tibial Plateau Utilizing a Tibial “Drawer-Exposure” Osteotomy and Osteochondral Allograft Transplant by

Lateral (A) and anteroposterior (B) radiographs made six months postoperatively demonstrate mild resorption about the allograft and hyperdensity of the allograft scaffold in comparison with

the surrounding bone.

Cory J. Lamblin, and Christopher J. Wahl J Bone Joint Surg Am 2011;93:e66

©2011 by The Journal of Bone and Joint Surgery, Inc.