Mosaicplasty for the treatment of a large traumatic osteochondral femoral head lesion: a case report with 2 year follow-up and review of the literature.
Different joint-preserving techniques have been described for the treatment of traumatic osteochondral lesions of the femoral head especially in young active patients. Mosaicplasty with autologous transplantation of osteochondral cylinders is an established surgical technique in the knee. Little evidence, however, exists for the treatment of osteochondral lesions in the hip using this technique. Here, we report on the result of treatment of a traumatic 5 cm(2) osteochondral lesion of the femoral head in a young patient treated with mosaicplasty. Grafts were taken from the ipsilateral knee. After 2 years, the outcome was satisfactory with partial return to previous activity level.
Department of Orthopaedics and Traumatology, University Medical Centre Mainz, Langenbeckstraße 1, 55131, Mainz, Germany. anthonissenjoris@gmail.com.
J
http://orcid.org/0000-0002-9149-4127
J
Anthonissen
Department of Orthopaedics and Traumatology, University Medical Centre Mainz, Langenbeckstraße 1, 55131, Mainz, Germany.
P M
PM
Rommens
Department of Orthopaedics and Traumatology, University Medical Centre Mainz, Langenbeckstraße 1, 55131, Mainz, Germany.
A
A
Hofmann
D016025:Bone Transplantation / Q000379:methods*; D005269:Femur / Q000637:transplantation*; D005270:Femur Head / Q000293:injuries* / Q000601:surgery; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D051457:Hyaline Cartilage / Q000637:transplantation*; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D055815:Young Adult
Femoral head fracture; Hip arthroplasty; Knee; Microfracture; Mosaicplasty; OATS; Pipkin