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Case Report: Fresh-Stored Osteochondral Allograft for Treatment of Osteochondritis Dissecans the Femoral Head

  • Case Report
  • Published:
Clinical Orthopaedics and Related Research®

Abstract

Osteochondral defects of the femoral head are exceedingly rare, with limited treatment options. Restoration procedures for similar defects involving the knee and ankle have been well described. In this report, we present a young patient who had a symptomatic osteochondral defect of the femoral head develop secondary to trauma and underwent subsequent treatment using a fresh-stored osteochondral allograft via a trochanteric osteotomy. At the 1-year followup, the patient was symptom free with near-complete incorporation of the graft radiographically. Our observations in this case suggest osteoarticular implantation may be an appropriate alternative to consider when treating osteochondral defects of the femoral head.

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Authors and Affiliations

  1. Integrated Department of Orthopaedics and Rehabilitation, Walter Reed National Military Medical Center, 8901 Wisconsin Ave, Bethesda, MD, 20889, USA

    Korboi N. Evans MD, MS & Bertram C. Providence MD, MBA

Authors
  1. Korboi N. Evans MD, MS
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  2. Bertram C. Providence MD, MBA
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Correspondence to Korboi N. Evans MD, MS.

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Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.

Each author certifies that his or her institution approved or waived approval for the reporting of this case and that all investigations were conducted in conformity with ethical principles of research.

The views expressed in this article are those of the author and do not necessarily reflect the official policy or position of the Department of the Army, the Department of the Navy, Department of Defense, nor the US Government. This work was funded by work unit number: 601153 N.4508.5180.A0508. I am a military service member (or employee of the US Government). This work was prepared as part of my official duties. Title 17 USC 105 provides that “Copyright protection under this title is not available for any work of the United States Government.” Title 17 USC 101 defines a US Government work as a work prepared by a military service member or employee of the US Government as part of that person’s official duties.

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Evans, K.N., Providence, B.C. Case Report: Fresh-Stored Osteochondral Allograft for Treatment of Osteochondritis Dissecans the Femoral Head. Clin Orthop Relat Res 468, 613–618 (2010). https://doi.org/10.1007/s11999-009-0997-1

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  • DOI: https://doi.org/10.1007/s11999-009-0997-1

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