Tibiofemoral cartilage defect with malalignment

Christian Lattermann, Burak Altintas

Research output: Chapter in Book/Report/Conference proceedingChapter

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 languageEnglish (US)
Title of host publicationJoint Preservation of the Knee
Subtitle of host publicationA Clinical Casebook
PublisherSpringer International Publishing
Pages235-254
Number of pages20
ISBN (Electronic)9783030014919
ISBN (Print)9783030014902
DOIs
StatePublished - Jan 1 2019
Externally publishedYes

Keywords

  • Chondral defect
  • Malalignment
  • Management
  • Tibiofemoral cartilage defects
  • Varus

ASJC Scopus subject areas

  • General Medicine

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