Goats or sheep are the preferred animal model for the preclinical evaluation of cartilage repair techniques due to the similarity of the goat stifle joint to the human knee.The medial femoral condyle of the stifle joi...Goats or sheep are the preferred animal model for the preclinical evaluation of cartilage repair techniques due to the similarity of the goat stifle joint to the human knee.The medial femoral condyle of the stifle joint is the preferred site for the assessment of articular cartilage repair,as this is the primary location for this type of lesion in the human knee.Proper surgical exposure of the medial femoral condyle is paramount to obtain reproducible results without surgical error.When applying the standard human medial arthrotomy technique on the goat stifle joint,there are some key aspects to consider in order to prevent destabilization of the extensor apparatus and subsequent postoperative patellar dislocations with associated animal discomfort.This paper describes a modified surgical technique to approach the medial femoral condyle of the caprine stifle joint.The modified technique led to satisfactory exposure without postoperative incidence of patellar luxations and no long-term adverse effects on the joint.展开更多
Loose bodies are freely floating fragments of cartilage or bone inside the knee joint space. This is commonly seen in association with degenerative joint disease (DJD), direct or indirect trauma, synovial chondromatos...Loose bodies are freely floating fragments of cartilage or bone inside the knee joint space. This is commonly seen in association with degenerative joint disease (DJD), direct or indirect trauma, synovial chondromatosis, osteochondritis dissecans (OCD) and size of the loose body may vary from few millimeters to few centimeters. Patients with loose bodies in knee joint presented to orthopaedists with knee pain, swelling and restricted movement, with intermittent locking or catching of the joint. This is managed surgically most of the times when it becomes symptomatic. The surgical technique most commonly utilized is arthroscopy. Open arthrotomy should be done when the loose bodies are very large/numerous/located in posterior joint space. In review of literature, we found very few cases of giant loose body in knee joint due to DJD reported in last 70 years. We are hereby reporting our case of 60-year-old male with a giant loose body of same size as of patella in the supra-patellar pouch of left knee joint and managed by arthrotomy to remove the giant loose body. Post-operatively patient recovered significantly over the period of 6-week follow-up. In conclusion, giant loose body should be removed through arthrotomy and all such cases should be thoroughly evaluated to diagnose the cause of giant loose body.展开更多
文摘Goats or sheep are the preferred animal model for the preclinical evaluation of cartilage repair techniques due to the similarity of the goat stifle joint to the human knee.The medial femoral condyle of the stifle joint is the preferred site for the assessment of articular cartilage repair,as this is the primary location for this type of lesion in the human knee.Proper surgical exposure of the medial femoral condyle is paramount to obtain reproducible results without surgical error.When applying the standard human medial arthrotomy technique on the goat stifle joint,there are some key aspects to consider in order to prevent destabilization of the extensor apparatus and subsequent postoperative patellar dislocations with associated animal discomfort.This paper describes a modified surgical technique to approach the medial femoral condyle of the caprine stifle joint.The modified technique led to satisfactory exposure without postoperative incidence of patellar luxations and no long-term adverse effects on the joint.
文摘Loose bodies are freely floating fragments of cartilage or bone inside the knee joint space. This is commonly seen in association with degenerative joint disease (DJD), direct or indirect trauma, synovial chondromatosis, osteochondritis dissecans (OCD) and size of the loose body may vary from few millimeters to few centimeters. Patients with loose bodies in knee joint presented to orthopaedists with knee pain, swelling and restricted movement, with intermittent locking or catching of the joint. This is managed surgically most of the times when it becomes symptomatic. The surgical technique most commonly utilized is arthroscopy. Open arthrotomy should be done when the loose bodies are very large/numerous/located in posterior joint space. In review of literature, we found very few cases of giant loose body in knee joint due to DJD reported in last 70 years. We are hereby reporting our case of 60-year-old male with a giant loose body of same size as of patella in the supra-patellar pouch of left knee joint and managed by arthrotomy to remove the giant loose body. Post-operatively patient recovered significantly over the period of 6-week follow-up. In conclusion, giant loose body should be removed through arthrotomy and all such cases should be thoroughly evaluated to diagnose the cause of giant loose body.
