Cristian PintadoPontificia Universidad Católica del Ecuador, Ecuador
Title: Massive osteocondral cadaveric grafth in lateral femoral condyl
The high energy impact on the knee can produce a complex and wide variety of fracture patterns and in some cases, such as those with massive bone loss, it is not possible to apply conventional treatment protocols. Therefore, the joint reconstruction with massive osteochondral grafts similar to those used in oncology patients is a viable option in young patients, with high life expectancy and considerable physical activity. A 42 years old male, active duty police officer; who 13 years ago was shot by a firearm in the left knee, had a massive loss of the lateral femoral condyle and injury to the anterior cruciate ligament (ACL), the space of loss of the medial condyle was preserved using a cement spacer and a year later a massive cadaveric osteochondral graft placement in the lateral condyle plus anterior cruciate ligament plasty was performed. The patient underwent continuous rehabilitation and six months after the surgery he reactivated movement; after 12 years of following up, he maintains a flexion of 90 ° and an extension of -10°, without pain and with a slight functional limitations. Knee joint reconstruction with massive cadaveric bone grafts may be an appropriate treatment option for patients with significant bone loss and satisfactory long-term functional results.
Cristian Pintado Cajamarca completed his studies in traumatology and orthopedics at the Pontificia Universidad Católica del Ecuador, at the age of 34, he is a member of the Ecuadorian Society of Orthopaedics and Traumatology and AO membership, he has started research work, a participant in the journal Cambios, interested in the area of bone grafts, complex fracture reconstruction and arthroplasty.