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OasisLMS
Catalog
APEX Knee Navigating Pearls and Pitfalls
Cartilage Only Flap Repair
Cartilage Only Flap Repair
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Video Transcription
Video Summary
Peter Fabrikant discusses managing cartilage-only fragments after patellofemoral dislocation, emphasizing when and how to fix them. Cartilage-only fragments lack visible bone on imaging and surgery. Studies show these fragments can heal well, especially in young patients, with fixation times averaging around 11-17 days post-injury. Healing rates are comparable to osteochondral fractures, likely due to microscopic bone presence. Intraoperative assessment focuses on fragment location, size, shape, and chronicity. Fixation methods vary, with absorbable implants often preferred. Backup plans include cartilage grafts or biopsies. Stabilizing the patellofemoral joint aids healing and may reduce the need for future procedures.
Asset Caption
Dr. Peter Fabricant
Keywords
patellofemoral dislocation
cartilage-only fragments
fragment fixation
healing rates
absorbable implants
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