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Joint Preservation of the Knee pp 183–197Cite as

Bipolar Articular Chondral Lesions of the Knee

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Abstract

Bipolar chondral defects cause a high degree of dysfunction in patients, namely athletes, and are often less common and more difficult to treat than isolated chondral lesions. Patients often present with a more degenerative rather than traumatic etiology, and while bipolar lesions are often a relative contraindication for cartilage procedures, undertreatment may contribute to further degeneration. This is complicated by the relative dearth of literature detailing evidence-based treatment strategies for bipolar lesions. Despite a number of cartilage restoration techniques and orthobiologics available, further research is needed in order to determine the most appropriate and effective treatment for this complicated pathology. This chapter presents two cases of former athletes with symptomatic bipolar lesions – one which was treated with a particulated juvenile allograft cartilage transplantation, microfracture, and tibial tubercle osteotomy with anteromedialization while the other with an osteochondral allograft transplantation, microfracture, and lateral meniscal allograft transplantation.

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Authors and Affiliations

  1. Wake Forest School of Medicine, Winton-Salem, NC, USA

    Brian Waterman

  2. University of Vermont, College of Medicine, Burlington, VT, USA

    Annabelle Davey

  3. Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, USA

    Michael L. Redondo & Brian J. Cole

Authors
  1. Brian Waterman
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  2. Annabelle Davey
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  3. Michael L. Redondo
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  4. Brian J. Cole
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Corresponding author

Correspondence to Brian J. Cole .

Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, USA

    Adam B. Yanke

  2. Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, USA

    Brian J. Cole

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Waterman, B., Davey, A., Redondo, M.L., Cole, B.J. (2019). Bipolar Articular Chondral Lesions of the Knee. In: Yanke, A., Cole, B. (eds) Joint Preservation of the Knee. Springer, Cham. https://doi.org/10.1007/978-3-030-01491-9_12

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  • DOI: https://doi.org/10.1007/978-3-030-01491-9_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-01490-2

  • Online ISBN: 978-3-030-01491-9

  • eBook Packages: MedicineMedicine (R0)

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