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Arthroscopic Particulated Juvenile Cartilage Allograft Transplantation for the Treatment of Osteochondral Lesions of the Talus  Samuel B. Adams, M.D.,

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Presentation on theme: "Arthroscopic Particulated Juvenile Cartilage Allograft Transplantation for the Treatment of Osteochondral Lesions of the Talus  Samuel B. Adams, M.D.,"— Presentation transcript:

1 Arthroscopic Particulated Juvenile Cartilage Allograft Transplantation for the Treatment of Osteochondral Lesions of the Talus  Samuel B. Adams, M.D., Constantine A. Demetracopoulos, M.D., Selene G. Parekh, M.D., Mark E. Easley, M.D., Justin Robbins, M.D.  Arthroscopy Techniques  Volume 3, Issue 4, Pages e533-e537 (August 2014) DOI: /j.eats Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

2 Fig 1 Right ankle with anterolateral OLT (viewed through medial portal). Arthroscopy Techniques 2014 3, e533-e537DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

3 Fig 2 Lesion preparation with ringed curette (viewed through medial portal). The curette is in the lateral portal. Arthroscopy Techniques 2014 3, e533-e537DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

4 Fig 3 Final lesion preparation (viewed through medial portal). Fluid has been evacuated from the joint. The distal fibula exposure, indicating that this is a shoulder lesion, should be noted. Arthroscopy Techniques 2014 3, e533-e537DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

5 Fig 4 Drying lesion base with Weck-Cel sponge (viewed through medial portal). Arthroscopy Techniques 2014 3, e533-e537DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

6 Fig 5 Delivery of graft through lateral portal (viewed through medial portal). One should note that the bevel of the trocar is facing toward the lesion. Arthroscopy Techniques 2014 3, e533-e537DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

7 Fig 6 Application of fibrin to graft (viewed through medial portal).
Arthroscopy Techniques 2014 3, e533-e537DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

8 Fig 7 Graft distributed throughout lesion using a freer (viewed through medial portal). Arthroscopy Techniques 2014 3, e533-e537DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

9 Fig 8 Additional fibrin is added once all the DeNovo graft has been implanted (viewed through medial portal). Arthroscopy Techniques 2014 3, e533-e537DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

10 Fig 9 Final view of grafted defect (viewed through medial portal).
Arthroscopy Techniques 2014 3, e533-e537DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions


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