Document Detail

Total femoral and tibial osteochondral allograft for remobilizing a knee after arthrodesis.
MedLine Citation:
PMID:  23014775     Owner:  NLM     Status:  Publisher    
PURPOSE: Knee arthrodesis is a scarcely tolerated procedure with a strong negative impact on the quality of life of the patient. The use of a fresh osteochondral allograft represents a fascinating option for a biological joint reconstruction. Aim of this report is to describe a case of total femoral and tibial osteochondral allograft used for reversing a non-tolerated knee fusion in a young patient and to report the clinical and radiographic results obtained at a 4-year follow-up. METHODS: A 22-year-old man with right knee arthrodesis received a reversion of the arthrodesis with a total femoral and tibial osteochondral allograft. Clinical and radiographical evaluations were carried out periodically up to 48 months. RESULTS: At 48 months of follow-up, the patient had full integration of the allograft with a range of motion from 0° to 80°. Clinical scores improved from preoperative to final follow-up (IKDC from 25 to 65, KOOS from 32 to 65 and WOMAC from 30 to 74). Radiographic arthritis occurrence of the transplanted surfaces was evident at follow-up. CONCLUSIONS: Despite the good clinical results achieved in the case described, a wider applicability of total femoral and tibial osteochondral allograft requires further studies on long-term larger allograft survival. Arthritis recurrence of the transplanted surfaces is cause of concern. Causes and possible solutions need to be more deeply investigated. LEVEL OF EVIDENCE: Case report, Level V.
Sandro Giannini; Roberto Buda; Alberto Ruffilli; Gherardo Pagliazzi; Francesca Vannini
Related Documents :
24045255 - Dose reduction of 69% for computed tomography pulmonary angiography: reduced z-axis com...
23969475 - Comparison of the agency for healthcare research and quality patient safety indicator r...
15972035 - Reoperative pancreaticoduodenectomy for periampullary carcinoma.
23591165 - Quality of the voice after injection of hyaluronic acid into the vocal fold.
9062015 - A decade of subclavian angioplasty: aortoarteritis versus atherosclerosis.
15383845 - Renal angioplasty in non-atheromatous renal artery stenosis: technical results and clin...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-27
Journal Detail:
Title:  Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA     Volume:  -     ISSN:  1433-7347     ISO Abbreviation:  Knee Surg Sports Traumatol Arthrosc     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9314730     Medline TA:  Knee Surg Sports Traumatol Arthrosc     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
II Clinic of Orthopaedic and Traumatology, Istituto Ortopedico Rizzoli, Bologna University, Via G.C. Pupilli 1, 40136, Bologna, Italy.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Regulatory considerations in production of a cell therapy medicinal product in Europe to clinical re...
Next Document:  BODIPY dyes in photodynamic therapy.