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Anatomy and Classification of Chondral Injury K nee joint

Anatomy and Classification of Chondral Injury K nee joint . Grade I Grade II Grade III Grade IV. Normal tread “0” Blister or slight surface breakdown II Spots where the rubber is pealing off the core III Exposed core IV. Tire Analogy:. grade 0 : normal cartilage;

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Anatomy and Classification of Chondral Injury K nee joint

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  1. Anatomy and Classification of Chondral Injury Knee joint

  2. Grade I • Grade II • Grade III • Grade IV

  3. Normal tread “0” • Blister or slight surface breakdown II • Spots where the rubber is pealing off the core III • Exposed core IV Tire Analogy:

  4. grade 0: normal cartilage; • grade I: cartilage with softening and swelling; • grade II: a partial-thickness defect with fissures on the surface that do not reach subchondral bone or exceed 1.5 cm in diameter; • grade III: fissuring to the level of subchondral bone in an area with a diameter more than 1.5 cm; • grade IV, exposed subchondral bone. Outerbridge classification:

  5. Indication for Procedure • Technique • After Care • Future Expectations ChondroplastyGrade II and III Lesions

  6. Indications for procedure • Technique • After Care • Future Expectations Micro fractureGrade IV

  7. Indications for procedure • Technique • After Care • Future Expectations Oats ProcedureGrade IV Greater than 1 square centimeter

  8. Indications for procedure • Technique • After Care • Future Expectations ACI ProcedureVery Large Grade IV

  9. Indications for procedure • Technique • After Care • Future Expectations Large fresh OsteochondralAllograft

  10. Indications for procedure • Technique • After Care • Future Expectations Partial Knee Resurfacing

  11. Partial Pre-op X-Rays

  12. Partial Post-op X-Rays

  13. Indications for procedure • Technique • After Care • Future Expectations Total Knee Replacement Total Resurfacing vs. Replacement

  14. Total KneePre Op X-Rays

  15. Post op X-Rays

  16. Thank You!!

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