Summary
Major cartilaginous defects of the femoral condyles of the knee joint, caused by chondropathy and chondral trauma can be a precursor to osteoarthritis.
Particularly in cases with large defects the therapy often remains unsuccessful. Even the substitution of articular hyaline cartilage by autogenous osteochondral grafts, regarded as superior to other procedures like Pridies's drilling and abrasion arthroplasty, carries the risk of failure by necrosis of the craft and morbidity at the donor side.
We present a 10-year follow-up case who had a large autogenous osteochondral graft from the non-weight bearing periphery of the patellofemoral joint that was implanted after necrosis of the medial femoral condyle following immunsuppressive chemotherapy.
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Menke, W., Schneider, T. Large autogenous osteochondral graft for replacing knee cartilage defect. Eur J Orthop Surg Traumatol 8, 141–143 (1998). https://doi.org/10.1007/BF01682631
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DOI: https://doi.org/10.1007/BF01682631