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Case report: Fresh-stored osteochondral allograft for treatment of osteochondritis dissecans the femoral head.

Abstract
Osteochondral defects of the femoral head are exceedingly rare, with limited treatment options. Restoration procedures for similar defects involving the knee and ankle have been well described. In this report, we present a young patient who had a symptomatic osteochondral defect of the femoral head develop secondary to trauma and underwent subsequent treatment using a fresh-stored osteochondral allograft via a trochanteric osteotomy. At the 1-year followup, the patient was symptom free with near-complete incorporation of the graft radiographically. Our observations in this case suggest osteoarticular implantation may be an appropriate alternative to consider when treating osteochondral defects of the femoral head.
AuthorsKorboi N Evans, Bertram C Providence
JournalClinical orthopaedics and related research (Clin Orthop Relat Res) Vol. 468 Issue 2 Pg. 613-8 (Feb 2010) ISSN: 1528-1132 [Electronic] United States
PMID19727986 (Publication Type: Case Reports, Journal Article, Research Support, U.S. Gov't, Non-P.H.S.)
Topics
  • Adult
  • Bone Transplantation
  • Femur (surgery)
  • Femur Head (injuries, physiopathology, radiography, surgery)
  • Hip Joint (physiopathology, radiography, surgery)
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Osseointegration
  • Osteochondritis Dissecans (physiopathology, radiography, surgery)
  • Osteotomy
  • Range of Motion, Articular
  • Recovery of Function
  • Time Factors
  • Tissue Banks
  • Tomography, X-Ray Computed
  • Transplantation, Homologous
  • Treatment Outcome
  • Weight-Bearing

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