Clinical Orthopaedics and Related Research®

, Volume 468, Issue 2, pp 613–618

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

Authors

    • Integrated Department of Orthopaedics and RehabilitationWalter Reed National Military Medical Center
  • Bertram C. Providence
    • Integrated Department of Orthopaedics and RehabilitationWalter Reed National Military Medical Center
Case Report

DOI: 10.1007/s11999-009-0997-1

Cite this article as:
Evans, K.N. & Providence, B.C. Clin Orthop Relat Res (2010) 468: 613. doi:10.1007/s11999-009-0997-1

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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© U.S. Government 2009