title: Osteochondral grafting of knee joint using mosaicplasty.
abstract: Focal cartilage defects of articular surface-traumatic and degenerative are difficult to treat, thus a variety of surgical techniques have been developed and reported for treatment of such defects. Procedures such as Priddies perforations, microfracture, abrasion chondroplasty have shown long-term results which are often less than adequate. One of the reasons is that all these techniques lead to the formation of fibrocartilage which has inferior mechanical properties as compared to the native hyaline cartilage. Mosaicplasty is a procedure which aims at replacing the lost articular cartilage with hyaline cartilage including underlying bone support, thus providing adequate stability to the cartilage and better cartilage/bone integration. A young man underwent this procedure for recalcitrant knee pain at our institution. At 2 years follow-up, his knee pain has significantly improved. We hereby present medium term results (2 years) of this first case report in local literature.
authors.affiliation: Section of Orthopaedics, Department of Surgery, The Aga Khan University Hospital, Karachi. muhammad.wajid@aku.edu
authors.forename: Muhammad Abdul
authors.initials: MA
authors.lastname: Wajid
authors.forename: Muhammad Idrees
authors.initials: MI
authors.lastname: Shah
authors.lastname: Mohsin-e-Azam
authors.forename: Tashfeen
authors.initials: T
authors.lastname: Ahmad
mesh_terms: D002357:Cartilage Diseases / Q000601:surgery*; D002358:Cartilage, Articular / Q000601:surgery*; D019902:Chondrocytes / Q000637:transplantation*; D006801:Humans; D007719:Knee Joint; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D016059:Range of Motion, Articular; D016474:Weight-Bearing