Cristian Pintado
Pontificia Universidad Católica del Ecuador, EcuadorTitle: Massive osteocondral cadaveric grafth in lateral femoral condyl
Abstract
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.
Biography
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.
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