Minced Cartilage in Combination with Autologous Bone Grafting for One-Step Osteochondral Defect Reconstruction in an Athlete’s Knee

A 17-year-old student athlete suffering from stress-related knee pain asked for help. MRI revealed an unstable osteochondral lesion. Because of time pressure due to the patient’s academic exams and his schedule as a basketball player, an autologous chondrocyte transplantation (ACT) as the standard s...

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Autores principales:	Diane Leyder, Christian Konrads, Patrick Ziegler, Stefan Döbele
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/6e3ff5a9cee642fc8b9b6e0f3984532c
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spelling	oai:doaj.org-article:6e3ff5a9cee642fc8b9b6e0f3984532c2021-11-29T00:56:13ZMinced Cartilage in Combination with Autologous Bone Grafting for One-Step Osteochondral Defect Reconstruction in an Athlete’s Knee2090-675710.1155/2021/9501039https://doaj.org/article/6e3ff5a9cee642fc8b9b6e0f3984532c2021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/9501039https://doaj.org/toc/2090-6757A 17-year-old student athlete suffering from stress-related knee pain asked for help. MRI revealed an unstable osteochondral lesion. Because of time pressure due to the patient’s academic exams and his schedule as a basketball player, an autologous chondrocyte transplantation (ACT) as the standard surgical treatment plan was not accepted by the patient. This was mainly because of its two-step character three weeks in between surgeries. Therefore, a surgical one-step therapy option as alternative treatment to ACT was needed. The patient received simultaneous autologous cancellous bone grafting and minced cartilage procedure in a sandwich technique. After successful rehabilitation, the patient continued his studies of sports science and his active career as a basketball player successfully. Several different procedures are used for the treatment of cartilage defects. The following factors play a significant role: defect size, location, patient age, and sports ambitions. In the case described here, ACT would have been the conventional, but not the ideal option in the perspective of this individual patient because of the two-step surgery and the longer rehabilitation time. Therefore, the minced cartilage method presented a valid alternative, even though long-term data are still missing and prospective studies comparing this procedure with others are needed in the future.Diane LeyderChristian KonradsPatrick ZieglerStefan DöbeleHindawi LimitedarticleOrthopedic surgeryRD701-811ENCase Reports in Orthopedics, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Orthopedic surgery RD701-811
spellingShingle	Orthopedic surgery RD701-811 Diane Leyder Christian Konrads Patrick Ziegler Stefan Döbele Minced Cartilage in Combination with Autologous Bone Grafting for One-Step Osteochondral Defect Reconstruction in an Athlete’s Knee
description	A 17-year-old student athlete suffering from stress-related knee pain asked for help. MRI revealed an unstable osteochondral lesion. Because of time pressure due to the patient’s academic exams and his schedule as a basketball player, an autologous chondrocyte transplantation (ACT) as the standard surgical treatment plan was not accepted by the patient. This was mainly because of its two-step character three weeks in between surgeries. Therefore, a surgical one-step therapy option as alternative treatment to ACT was needed. The patient received simultaneous autologous cancellous bone grafting and minced cartilage procedure in a sandwich technique. After successful rehabilitation, the patient continued his studies of sports science and his active career as a basketball player successfully. Several different procedures are used for the treatment of cartilage defects. The following factors play a significant role: defect size, location, patient age, and sports ambitions. In the case described here, ACT would have been the conventional, but not the ideal option in the perspective of this individual patient because of the two-step surgery and the longer rehabilitation time. Therefore, the minced cartilage method presented a valid alternative, even though long-term data are still missing and prospective studies comparing this procedure with others are needed in the future.
format	article
author	Diane Leyder Christian Konrads Patrick Ziegler Stefan Döbele
author_facet	Diane Leyder Christian Konrads Patrick Ziegler Stefan Döbele
author_sort	Diane Leyder
title	Minced Cartilage in Combination with Autologous Bone Grafting for One-Step Osteochondral Defect Reconstruction in an Athlete’s Knee
title_short	Minced Cartilage in Combination with Autologous Bone Grafting for One-Step Osteochondral Defect Reconstruction in an Athlete’s Knee
title_full	Minced Cartilage in Combination with Autologous Bone Grafting for One-Step Osteochondral Defect Reconstruction in an Athlete’s Knee
title_fullStr	Minced Cartilage in Combination with Autologous Bone Grafting for One-Step Osteochondral Defect Reconstruction in an Athlete’s Knee
title_full_unstemmed	Minced Cartilage in Combination with Autologous Bone Grafting for One-Step Osteochondral Defect Reconstruction in an Athlete’s Knee
title_sort	minced cartilage in combination with autologous bone grafting for one-step osteochondral defect reconstruction in an athlete’s knee
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/6e3ff5a9cee642fc8b9b6e0f3984532c
work_keys_str_mv	AT dianeleyder mincedcartilageincombinationwithautologousbonegraftingforonesteposteochondraldefectreconstructioninanathletesknee AT christiankonrads mincedcartilageincombinationwithautologousbonegraftingforonesteposteochondraldefectreconstructioninanathletesknee AT patrickziegler mincedcartilageincombinationwithautologousbonegraftingforonesteposteochondraldefectreconstructioninanathletesknee AT stefandobele mincedcartilageincombinationwithautologousbonegraftingforonesteposteochondraldefectreconstructioninanathletesknee
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Minced Cartilage in Combination with Autologous Bone Grafting for One-Step Osteochondral Defect Reconstruction in an Athlete’s Knee

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