Chondral Resurfacing of Articular Cartilage Defects in the Knee with the Microfracture Technique by Kai Mithoefer, Riley J. Williams, Russell F. Warren,

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Comments on Beattie et al

Fig. 1. Proton density magnetic resonance imaging (MRI): the coronal (A) and sagittal (B) views showed a cartilage defect (arrows) on the right acetabulum.

Presentation transcript:

Chondral Resurfacing of Articular Cartilage Defects in the Knee with the Microfracture Technique by Kai Mithoefer, Riley J. Williams, Russell F. Warren, Hollis G. Potter, Christopher R. Spock, Edward C. Jones, Thomas L. Wickiewicz, and Robert G. Marx JBJS Essent Surg Tech Volume os-88(1 suppl 2): September 1, 2006 ©2006 by The Journal of Bone and Joint Surgery, Inc.

Arthroscopic image demonstrating the primary presentation of a femoral cartilage lesion with a large marginal cartilage flap on probing. Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

Schematic drawing demonstrating the typical presentation of an articular cartilage lesion upon primary arthroscopic inspection. Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

Schematic drawing illustrating the range of motion during which the cartilage defect articulates with the opposing joint surface. Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

Sagittal fast-spin-echo magnetic resonance image demonstrating marked subchondral overgrowth (arrow) with resultant thinning of the overlying repair cartilage. Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

Photograph showing arthroscopic awl tips with conical shape angulations of 30°, 45°, and 90°. Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

Drawing illustrating the technique for microfracture of patellar lesions. Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

Sagittal fast-spin-echo magnetic resonance image of the knee showing a high-grade lesion (arrows) of the medial femoral condyle before (Fig. 12-A) and after cartilage repair with microfracture chondroplasty (Fig. 12-B). Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88: ©2006 by The Journal of Bone and Joint Surgery, Inc.

Arthroscopic appearance of the repaired cartilage defect sixteen months after microfracture. Kai Mithoefer et al. J Bone Joint Surg Am 2006;os-88: ©2006 by The Journal of Bone and Joint Surgery, Inc.