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Cartilage Case of the Month

15-year-old female high school basketball player developed left knee pain, swelling and mechanical symptoms in February 2018

Evaluated by local orthopedic surgeon

Cartilage Case of the Month - KM

Cartilage Case of the Month - KM

Cartilage Case of the Month - KM

Cartilage Case of the Month - KM

Treated nonoperatively with crutches/restricted weightbearing x 3 months

PT for ROM/strengthening

Cartilage Case of the Month - KM

December 2018 – Left Knee Arthroscopy with In-Situ Fixation of OCD with biocompression screws

Cartilage Case of the Month - KM

Cartilage Case of the Month - KM

Cartilage Case of the Month - KM

Cartilage Case of the Month - KM

Cartilage Case of the Month - KM

Remains symptomatic and functionally limited Referred in for evaluation and treatment

Cartilage Case of the Month - KM

Questions?

What would you have done differently with respect to initial treatment?

Are there any indications for second attempt at ORIF?

OCA

  • Snowman vs BioUni?
  • How deep do you ream?
  • Bone graft?
  • Soak plug BMAC/PRP
  • Compression screws?

Cartilage Case of the Month - KM

Cartilage Case of the Month - KM

Cartilage Case of the Month - KM

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