Treatment of an Articular Lesion of the Lateral Tibial Plateau Utilizing a Tibial “Drawer-Exposure” Osteotomy and Osteochondral Allograft Transplant by.

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Treatment of an Articular Lesion of the Lateral Tibial Plateau Utilizing a Tibial “Drawer-Exposure” Osteotomy and Osteochondral Allograft Transplant by Cory J. Lamblin, and Christopher J. Wahl J Bone Joint Surg Am Volume 93(12):e66 June 15, 2011 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Sagittal (A) and coronal (B) T1-weighted MRIs showing the osteonecrosis in the lateral tibial plateau (white arrow). Cory J. Lamblin, and Christopher J. Wahl J Bone Joint Surg Am 2011;93:e66 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Coronal (A) and sagittal (B) CT images of the knee six months after attempted transepiphyseal bone-grafting to the avascular defect (white arrow). Cory J. Lamblin, and Christopher J. Wahl J Bone Joint Surg Am 2011;93:e66 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Trial procedure performed on cadaveric specimen. Cory J. Lamblin, and Christopher J. Wahl J Bone Joint Surg Am 2011;93:e66 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Fig. 4, A through F Intraoperative images from the drawer procedure. Cory J. Lamblin, and Christopher J. Wahl J Bone Joint Surg Am 2011;93:e66 ©2011 by The Journal of Bone and Joint Surgery, Inc.

Lateral (A) and anteroposterior (B) radiographs made six months postoperatively demonstrate mild resorption about the allograft and hyperdensity of the allograft scaffold in comparison with the surrounding bone. Cory J. Lamblin, and Christopher J. Wahl J Bone Joint Surg Am 2011;93:e66 ©2011 by The Journal of Bone and Joint Surgery, Inc.