Jildeh Toufic R, Comfort Spencer M, Peebles Annalise M, Powell Sarah N, Provencher Matthew T
The Steadman Clinic, Vail, Colorado, U.S.A.
Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
Arthrosc Tech. 2022 Mar 19;11(4):e623-e630. doi: 10.1016/j.eats.2021.12.016. eCollection 2022 Apr.
In patients with full-thickness focal cartilage defects, osteochondral allograft is a technique for restoration of hyaline cartilage; however, in patients with genu varum, the diseased compartment of the knee is generally offloaded as well. A high tibial osteotomy presents a biomechanical solution to malalignment of the knee and offloading of the diseased compartment of the knee. The purpose of this Technical Note is to present our preferred technique to treat focal cartilage damage in a varus misaligned knee coupling a high tibial osteotomy with an osteochondral allograft to the medial femoral condyle, along with partial medial and lateral meniscectomy.
对于全层局灶性软骨缺损患者，骨软骨异体移植是恢复透明软骨的一种技术；然而，对于膝内翻患者，膝关节的病变部位通常也会得到减负。高位胫骨截骨术为膝关节力线不正和膝关节病变部位减负提供了一种生物力学解决方案。本技术说明的目的是介绍我们治疗膝内翻伴局灶性软骨损伤的首选技术，即将高位胫骨截骨术与内侧股骨髁骨软骨异体移植术相结合，并同时进行部分内侧和外侧半月板切除术。
