Abstract
Tibiofemoral cartilage defects are often found in concurrence with and may be secondary to malalignment. This case discusses the treatment and evaluation of a 34-year-old female with a history of 2 years of atraumatic medial knee pain with prior partial meniscectomy found to have varus malalignment of 6° and a 2 cm2 chondral defect in the medial femoral condyle with an intact subchondral bone plate. When determining the appropriate treatment for a patient with these or similar symptoms, factors to consider include the following: degreeof malalignment, smoking status, BMI, contralateral defects, concomitant meniscal lesions, extent of arthritis, range of motion, and likelihood of postoperative compliance. This discussion uses a review of recent literature to address the process of choosing an appropriate treatment and determining whether or not to correct cartilage abnormalities in conjunction with misalignment correction.
Original language | English (US) |
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Title of host publication | Joint Preservation of the Knee |
Subtitle of host publication | A Clinical Casebook |
Publisher | Springer International Publishing |
Pages | 235-254 |
Number of pages | 20 |
ISBN (Electronic) | 9783030014919 |
ISBN (Print) | 9783030014902 |
DOIs | |
State | Published - Jan 1 2019 |
Externally published | Yes |
Keywords
- Chondral defect
- Malalignment
- Management
- Tibiofemoral cartilage defects
- Varus
ASJC Scopus subject areas
- General Medicine