Mosaicoplasty as a Salvage Procedure after Failed Primary Treatment with Silicone Implantation for Focal Osteochondral Lesion of the Knee Joint; a Case Report

Emre TY, Atbaşı Z, Demircioğlu DT, Seyhan B and Uzun M

Department of Orthopaedia and Traumatology, Memorial Hizmet Hospital, Turkey
Department of Orthopaedia and Traumatology, Ankara Military Hospital, Turkey
Department of Physical Medicine and Rehabilitation, Memorial Hizmet Hospital, Turkey
Department of Orthopaedia and Traumatology, Etimesgut Military Hospital Ankara, Turkey

^*Correspondance to: Tuluhan Yunus Emre 

 PDF  Full Text DOI: 10.25107/2474-1647.1048

Abstract

The successful treatment of chondral and osteochondral lesions of the weight-bearing surfaces of the knee joint is a challenge for orthopedic surgeons. If the primary treatment fails, revision or salvage procedures are even limited particularly when subchondral bone integrity is lost. A 35-yearold male patient presented with right knee pain, locking and limited range of motion. His past medical history revealed a femoral osteochondral injury which had been treated with silicone implantation. The implant was removed, and remaining large osteochondral (5cm2) lesion was treated with mosaicplasty. At the 5-year follow-up, the patient was symptom-free with almost complete radiographic incorporation of the graft. This case suggests that mosaicplasty is a good alternative salvage procedure for osteochondral defects of the femoral condyle even when the subchondral bone integrity is lost.

Keywords

Mosaicplasty; Cartilage repair; Revision; Silicone implant

Cite the article

Emre TY, Atba?? Z, Demircio?lu DT, Seyhan B, Uzun M. Mosaicoplasty as a Salvage Procedure after Failed Primary Treatment with Silicone Implantation for Focal Osteochondral Lesion of the Knee Joint; a Case Report. Clin Surg. 2016; 1: 1048.