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 join 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, with 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 performd. The patient undergoes continuous rehabilitation and at six months after the surgery he reactivates the march; after 12 years of follow-up, he maintains flexion of 90 ° and extension -10°, without pain and with slight functional limitations. Knee joint reconstruction with massive cadaveric bone grafts may be an appropriate treatment option for patients with significant bone loss with satisfactory long-term functional results.