RESUMO
Introduction: Failure of anterior cruciate ligament (ACL) reconstructive surgery often presents alongside progressive mono-compartment tibiofemoral arthritis. Total knee arthroplasty (TKA) is the conventional treatment option for this scenario but is associated with high levels of dissatisfaction amongst this younger cohort. Case Report: This case report outlines a 39-year-old male patient, who underwent revision ACL reconstruction plus a medial unicompartmental knee arthroplasty (UKA) replacement as a single-stage procedure. Conclusion: This is the first reported ACL revision with a simultaneous medial UKA and provides an alternative solution to a TKA in this younger cohort of patients.
RESUMO
Osteochondritis dissecans is a condition characterised by acquired pathological subchondral bone lesions and its incidence is unknown. It has a multifactorial aetiology, with a combination of genetic and acquired risk factors. It commonly presents in adolescents and young adults. Patients have variable presentations, including trauma, insidious onset and pain exacerbated by exercise. The joints primarily affected are the knee, ankle and elbow joint. Early identification is key to treatment and to prevent future osteoarthritis of the joint. This article gives an overview of the presentation, assessment and management of the juvenile form of osteochondritis dissecans.