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Case Reports in Orthopedics
Volume 2016, Article ID 1498135, 3 pages
http://dx.doi.org/10.1155/2016/1498135
Case Report

Spontaneous Minced Cartilage Procedure for Unexpectedly Large Femoral Condyle Surface Defect

Orthopaedics Lower Extremities, Musculoskeletal Centre, Schulthess Clinic, 8008 Zurich, Switzerland

Received 27 March 2016; Revised 18 May 2016; Accepted 22 June 2016

Academic Editor: Matteo Cadossi

Copyright © 2016 G. M. Salzmann et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Articular cartilage defects at the knee joint are being identified and treated with increasing frequency. Chondrocytes may have strongest potential to generate high-quality repair tissue within the defective region, in particular when large diameter defects are present. Autologous chondrocyte implantation is not available in every country. We present a case where we spontaneously covered an acute cartilage defect, which was significantly larger than expected and loose during initial arthroscopic inspection after reading preoperative MRI, by mincing the separated fragment and directly implanting the autologous cartilage chips into the defective region.