Johnson Michael R, LaPrade Robert F
University of Minnesota, Minneapolis, Minnesota, USA.
Am J Orthop (Belle Mead NJ). 2011 Jul;40(7):359-61.
Knee osteochondral lesions can be debilitating. Multiple procedures have been used to manage these defects. Osteochondral autograft transplantation is one such option. Reported complications include donor-site morbidity, failed osteointegration, size mismatch, and incongruency. In this article, we report a case of graft incongruency of the medial femoral condyle that resulted in a full-thickness "kissing lesion" groove on the opposing medial tibial plateau. In an osteochondral autograft transplantation procedure, proper surgical technique is paramount to prevent placement of a proud autograft and avoid the difficult complication of associated tibial chondral defects.
膝关节骨软骨损伤可能会使人虚弱。已经采用了多种手术方法来处理这些缺损。骨软骨自体移植就是其中一种选择。报道的并发症包括供区发病、骨整合失败、尺寸不匹配和不协调。在本文中，我们报告了一例股骨内侧髁移植不协调导致对侧胫骨内侧平台出现全层“亲吻损伤”沟的病例。在骨软骨自体移植手术中，正确的手术技术对于防止移植片过高放置以及避免相关胫骨软骨缺损这一棘手并发症至关重要。
