Surgical Intervention

Three issues were particularly concerning in this patient motion loss, varus instability, and a posttraumatic defect of his medial femoral condyle. Initially, the principal focus was on helping the patient regain a functional range of motion. Because of the significant periarticular scarring, the patient underwent his second surgical procedure, which included an arthrotomy, removal of his hardware, extensive intraarticular release, manipulation under anesthesia, and placement in a well-padded...

Chief Complaint And History Of Present Illness

The patient is a 44-year-old woman with a chief complaint of anterior knee pain and pain with weight bearing along the medial aspect of her right knee. Additionally, she has recurrent mechanical symptoms, swelling, difficulty doing her work, and inability to participate in her hobby as a sport barrel jumper. Two years prior, she had an arthroscopic chondral debridement, and was diagnosed with a full-thickness chondral defect of her medial femoral condyle documented to be the size of a dime and...

Chondral Disease of the Knee

Associate Professor, Department of Orthopedics and Department of Anatomy and Cell Biology Director, Cartilage Restoration Center at Rush Rush University Medical Center, Chicago, Illinois Director, Washington Orthopaedic and Knee Clinic, Fairfax, Virginia President, National Knee Research and Education Foundation, Clinton, Maryland Brian J. Cole, MD, MBA Associate Professor, Department of Orthopedics and Department of Anatomy and Cell Biology Director, Cartilage Restoration Center at Rush Rush...