Extensive Recontouring of the Femoral Head with Osteochondral Allografting: A Case Report with Histological and MicroCT Analysis

Figure 2

(a) Intraoperative photograph demonstrating guidepins placed in the lateral femoral head defect prior to coring for osteochondral allografting. The white arrowhead shows the anterior extent of the lateral femoral head lesion. (b) Intraoperative photograph demonstrating osteochondral allografts restoring the lateral contour of the femoral head at the side of the lateral femoral head defect. The central graft (black arrow) is in the process of being fully seated. (c) Intraoperative photograph of the femoral head apex with a 25 mm osteochondral allograft (white arrow) stabilized by two PLLA pins. (d) Immediate postoperative AP hip radiograph after femoral head osteochondral allografting through a trochanteric osteotomy with 2 metal screws holding the lateral femoral grafts in place. The apical femoral head graft is demonstrated by the white arrow.

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