APEX Knee Navigating Pearls and Pitfalls-Cartilage Only Flap Repair

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