Fresh Osteochondral Resurfacing of the Patellofemoral Joint
Gelber Ghertner, Pablo Eduardo (Institut d'Investigació Biomèdica Sant Pau)
Ramírez-Bermejo, Eduard (Institut d'Investigació Biomèdica Sant Pau)
Ibañez, Maximiliano (Hospital Universitari Dexeus (Barcelona, Catalunya))
Grau-Blanes, Àlex (Institut d'Investigació Biomèdica Sant Pau)
Fariñas Barbera, Oscar (Banc de Sang i Teixits)
Monllau García, Joan Carles (Universitat Autònoma de Barcelona. Departament de Cirurgia)

Date:	2019
Abstract:	Large osteochondral lesions of the knee in young patients continue to be a challenge for orthopaedic surgeons and the focus of continual research. This is particularly true if the injury is a consequence of a dysplastic trochlea and involves both articular surfaces of the biomechanically complex patellofemoral joint. To obtain a healthy and congruent patellofemoral joint, the use of a bipolar fresh osteochondral allograft transplantation of the patella and trochlea is one of the few options to biologically treat these injuries. This would achieve a replacement of the entire articular surface of the patellofemoral joint with a high number of viable chondrocytes and respect the unique structural characteristics of the cartilage. The aim of this study was to obtain symptomatic and functional improvements while delaying the timing of prosthetic surgery. We present a reproducible although demanding surgical technique to perform a bipolar fresh osteochondral allograft transplantation of the patella and trochlea.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Biologic resurfacing patella ; Knee ; Osteochondral allografts ; Patellofemoral ; Trochlear dysplasia
Published in:	Arthroscopy Techniques, Vol. 8 (november 2019) , p. e1395-e1401, ISSN 2212-6287

DOI: 10.1016/j.eats.2019.07.017
PMID: 31890513

7 p, 1.4 MB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles