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Title
Introduction
1. Diagnostic Arthroscopy
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A. Confirm Size and Position of Defect
B. Examine Other Structures of Knee
2. Exposure
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A. Make Midline Incision over Knee
B. Dissect down through Retinaculum
C. Visualize the Osteochondral Defect
3. Size and Remove Defect
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A. Measure Circumference
B. Drill Guide Pin into Defect
C. Ream the Defect
D. Measure Depth at Four Points around Circle
E. Make Perforations at Base of Defect
4. Graft Preparation on Back Table
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A. Size Circumference on Donor Allograft
B. Cut Initial Graft Plug From Donor Allograft
C. Mark Grafts for Depth
D. Cut Graft to Final Size
E. Pulse Lavage Graft
5. Place Graft
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A. Make Final Preparations in Graft Recipient Site
B. Press Fit Graft
C. Prepare Graft for Bio-Compression Screw
D. Place Bio-Compression Screw
6. Closure
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A. Torniquet Down and Achieve Homeostasis
B. Close Skin and Place Dressing
Discussion
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A. Patient History
B. Decision Algorithm
C. Size Matching the Allograft
D. Allograft Pros and Cons
E. Long-Term Viability of Repair
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Femoral Resurfacing with an Osteochondral Allograft for Osteochondritis Dissecans
Matthew Provencher, MD
Massachusetts General Hospital
Tags:
Orthopaedics
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Authors
Matthew T. Provencher, MD
Filmed At:
Massachusetts General Hospital
Article Information
Publication Date
5/29/2014
Article ID
4
Production ID
0049
Volume
2014
Issue
4
DOI
https://doi.org/10.24296/jomi/4