title: Case report: Fresh-stored osteochondral allograft for treatment of osteochondritis dissecans the femoral head.
abstract: Osteochondral defects of the femoral head are exceedingly rare, with limited treatment options. Restoration procedures for similar defects involving the knee and ankle have been well described. In this report, we present a young patient who had a symptomatic osteochondral defect of the femoral head develop secondary to trauma and underwent subsequent treatment using a fresh-stored osteochondral allograft via a trochanteric osteotomy. At the 1-year followup, the patient was symptom free with near-complete incorporation of the graft radiographically. Our observations in this case suggest osteoarticular implantation may be an appropriate alternative to consider when treating osteochondral defects of the femoral head.
authors.affiliation: Integrated Department of Orthopaedics and Rehabilitation, Walter Reed National Military Medical Center, 8901 Wisconsin Ave, Bethesda, MD 20889, USA. korboi.evans@amedd.army.mil
authors.forename: Korboi N
authors.initials: KN
authors.lastname: Evans
authors.forename: Bertram C
authors.initials: BC
authors.lastname: Providence
mesh_terms: D000328:Adult; D016025:Bone Transplantation; D005269:Femur / Q000601:surgery; D005270:Femur Head / Q000000981:diagnostic imaging / Q000293:injuries / Q000503:physiopathology / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D016348:Osseointegration; D010008:Osteochondritis Dissecans / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D010027:Osteotomy; D016059:Range of Motion, Articular; D020127:Recovery of Function; D013997:Time Factors; D014015:Tissue Banks; D014057:Tomography, X-Ray Computed; D014184:Transplantation, Homologous; D016896:Treatment Outcome; D016474:Weight-Bearing