Strategic Integration of Surgical Techniques for Knee Preservation: A Case Report
Different surgical techniques are used to preserve knee articular cartilage deterioration; however, combining these techniques can be challenging. This case study describes a 35-year-old man with bilateral genu varum malalignment and left knee pain, diagnosed with a grade IV chondral lesion in the l...
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| Format: | Article |
| Language: | English |
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Malaysian Orthopaedic Association
2025-07-01
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| Series: | Malaysian Orthopaedic Journal |
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| Online Access: | https://www.morthoj.org/2025/v19n2/knee-surgery.pdf |
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| author | Jaramillo-Quiceno A Sarmiento-Riveros PA Arias-Perez RD Mejia-Bustamante OA Guzman-Benedek RD |
| author_facet | Jaramillo-Quiceno A Sarmiento-Riveros PA Arias-Perez RD Mejia-Bustamante OA Guzman-Benedek RD |
| author_sort | Jaramillo-Quiceno A |
| collection | DOAJ |
| description | Different surgical techniques are used to preserve knee articular cartilage deterioration; however, combining these techniques can be challenging. This case study describes a 35-year-old man with bilateral genu varum malalignment and left knee pain, diagnosed with a grade IV chondral lesion in the lateral femur, a complex lateral meniscus lesion, and a radial tear in the medial meniscus. The patient underwent a valgus-producing tibial osteotomy, lateral osteochondral allograft transplantation, and lateral meniscal allograft transplantation using a 3D model of the proximal tibia. Seventeen months post-operatively, he experienced torsional trauma, leading to a tear of the transplanted meniscus posterior root and an anterior cruciate ligament injury. Subsequent surgical exploration revealed evidence of chondroprotective changes, including femoral osteochondral allograft healing and biomechanical integration of the transplanted meniscus, as indicated by the lateral meniscus root tear development. This case highlights the potential of combining these surgical procedures to achieve biomechanical integration of the transplanted meniscus, contributing to cumulative chondroprotective effects. |
| format | Article |
| id | doaj-art-40d01ee653ca4954bd1e1615a2be0f1a |
| institution | Kabale University |
| issn | 1985-2533 2232-111X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Malaysian Orthopaedic Association |
| record_format | Article |
| series | Malaysian Orthopaedic Journal |
| spelling | doaj-art-40d01ee653ca4954bd1e1615a2be0f1a2025-08-20T03:39:15ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332232-111X2025-07-011921610.5704/MOJ.2507.016Strategic Integration of Surgical Techniques for Knee Preservation: A Case ReportJaramillo-Quiceno A0Sarmiento-Riveros PA1Arias-Perez RD2Mejia-Bustamante OA3Guzman-Benedek RD4Department of Orthopaedic and Traumatology, Suramericana S.A. (EPS SURA), Medellin, ColombiaDepartment of Orthopaedic and Traumatology, Clinica del Campestre, Medellin, ColombiaDepartment of Orthopaedic and Traumatology, Pontifical Bolivarian University, Medellin, ColombiaDepartment of Orthopaedic and Traumatology, Pontifical Bolivarian University, Medellin, ColombiaDepartment of Orthopaedic and Traumatology, Clinica El Rosario, Medellin, ColombiaDifferent surgical techniques are used to preserve knee articular cartilage deterioration; however, combining these techniques can be challenging. This case study describes a 35-year-old man with bilateral genu varum malalignment and left knee pain, diagnosed with a grade IV chondral lesion in the lateral femur, a complex lateral meniscus lesion, and a radial tear in the medial meniscus. The patient underwent a valgus-producing tibial osteotomy, lateral osteochondral allograft transplantation, and lateral meniscal allograft transplantation using a 3D model of the proximal tibia. Seventeen months post-operatively, he experienced torsional trauma, leading to a tear of the transplanted meniscus posterior root and an anterior cruciate ligament injury. Subsequent surgical exploration revealed evidence of chondroprotective changes, including femoral osteochondral allograft healing and biomechanical integration of the transplanted meniscus, as indicated by the lateral meniscus root tear development. This case highlights the potential of combining these surgical procedures to achieve biomechanical integration of the transplanted meniscus, contributing to cumulative chondroprotective effects.https://www.morthoj.org/2025/v19n2/knee-surgery.pdftibial meniscus injuriesknee jointallogeneic transplantationgenu valgum3d model |
| spellingShingle | Jaramillo-Quiceno A Sarmiento-Riveros PA Arias-Perez RD Mejia-Bustamante OA Guzman-Benedek RD Strategic Integration of Surgical Techniques for Knee Preservation: A Case Report Malaysian Orthopaedic Journal tibial meniscus injuries knee joint allogeneic transplantation genu valgum 3d model |
| title | Strategic Integration of Surgical Techniques for Knee Preservation: A Case Report |
| title_full | Strategic Integration of Surgical Techniques for Knee Preservation: A Case Report |
| title_fullStr | Strategic Integration of Surgical Techniques for Knee Preservation: A Case Report |
| title_full_unstemmed | Strategic Integration of Surgical Techniques for Knee Preservation: A Case Report |
| title_short | Strategic Integration of Surgical Techniques for Knee Preservation: A Case Report |
| title_sort | strategic integration of surgical techniques for knee preservation a case report |
| topic | tibial meniscus injuries knee joint allogeneic transplantation genu valgum 3d model |
| url | https://www.morthoj.org/2025/v19n2/knee-surgery.pdf |
| work_keys_str_mv | AT jaramilloquicenoa strategicintegrationofsurgicaltechniquesforkneepreservationacasereport AT sarmientoriverospa strategicintegrationofsurgicaltechniquesforkneepreservationacasereport AT ariasperezrd strategicintegrationofsurgicaltechniquesforkneepreservationacasereport AT mejiabustamanteoa strategicintegrationofsurgicaltechniquesforkneepreservationacasereport AT guzmanbenedekrd strategicintegrationofsurgicaltechniquesforkneepreservationacasereport |