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Tibiofemoral Cartilage Defect with Malalignment

  • Christian LattermannEmail author
  • Burak Altintas
Chapter

Abstract

Tibiofemoral cartilage defects are often found in concurrence with and may be secondary to malalignment. This case discusses the treatment and evaluation of a 34-year-old female with a history of 2 years of atraumatic medial knee pain with prior partial meniscectomy found to have varus malalignment of 6° and a 2 cm2 chondral defect in the medial femoral condyle with an intact subchondral bone plate. When determining the appropriate treatment for a patient with these or similar symptoms, factors to consider include the following: degree of malalignment, smoking status, BMI, contralateral defects, concomitant meniscal lesions, extent of arthritis, range of motion, and likelihood of postoperative compliance. This discussion uses a review of recent literature to address the process of choosing an appropriate treatment and determining whether or not to correct cartilage abnormalities in conjunction with misalignment correction.

Keywords

Tibiofemoral cartilage defects Malalignment Varus Chondral defect Management 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Brigham and Women’s Hospital, Harvard Medical SchoolBostonUSA
  2. 2.Steadman Philippon ClinicVailUSA

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