SlideShare una empresa de Scribd logo
1 de 35
Salvage of Large OCD Lesions: Articular Cartilage Paste Grafting Kevin R. Stone, MD  CPMC Grand Rounds 2/13/2009 Stone Research Foundation
What to do when OCD fixation fails?
Patient Example: JL ,[object Object],[object Object],[object Object],[object Object],[object Object],Pre-op Xray
JL: Preoperative MRI Age 25: Pre-Hardware Removal
Morselized Lesion Paste Graft to MFC Extraction of Herbert Screws OCD Lesion 35X 40 X 30 mm JL: Failed Herbert Screws
Articular Cartilage Paste Graft  Technique Step 1 Step 5 Step 4 Step 3 Step 2
Biopsy of Paste Graft JL: 8 Mo Post-Paste Graft Histology
A 6 X 6 mm central portion required a second Paste Graft. JL: 8 Mo Post Paste Graft
Hypertrophy of the medial OCD lesion JL: 11 Mo Post Paste Graft Pre-Op 11 Mo Post-Op
JL: 7 Years Post Paste Graft 7 Years Post Op ,[object Object],[object Object],[object Object]
JL: 7 Years Post Paste Graft ,[object Object],[object Object],[object Object],A B C
JL: 7 Year Post Op MRI
JL: 8 Year Post Op Xray PA  Flexion AP
JL: 8 Year Post Op MRI ,[object Object],[object Object],[object Object],[object Object]
JL: 10 Year Post Op Xray
JL: 10 Year Post Op MRI
JL: 10 Year Post Op MRI
JL: 10 Year Function ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Patient Example: HV ,[object Object],[object Object],[object Object],[object Object]
HV 12/97 Art Cart Surgery ,[object Object],[object Object],[object Object]
HV 12/97 Art Cart Surgery ,[object Object]
HV 10 Month Post
HV 10 Month Post Paste Graft
HV 10 Month Post Paste Graft Biopsy
HV 10 Month Post Histology
HV 10 Month Post Histology
HV 11 Year Post MRI
HV 11 Year Post MRI
HV 11 Year Post Function ,[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object]
Does the Paste Contain Live Cells?
[object Object],[object Object],[object Object],Art Cart Paste Graft Characterization Study
Preliminary Results ,[object Object],[object Object],[object Object],The cells have the ability to express collagen I, collagen II and aggrecan genes. Paste Core *DMEM: Dulbecco/Vogt modified Eagle's minimal essential medium DMEM Chondrogenic media DMEM Chondrogenic media
Study Conclusions ,[object Object],[object Object],[object Object],[object Object]
Thank You Stone  Research  Foundation

Más contenido relacionado

La actualidad más candente

Limb length discrepency
Limb length discrepencyLimb length discrepency
Limb length discrepencyNaveed Jumani
 
Adv Rehab Draft 11.11.15
Adv Rehab Draft 11.11.15Adv Rehab Draft 11.11.15
Adv Rehab Draft 11.11.15Laura Wind
 
Articular cartilage
Articular cartilageArticular cartilage
Articular cartilageorthoprince
 
Presentation on prosthetic foot
Presentation on prosthetic footPresentation on prosthetic foot
Presentation on prosthetic footAamirSiddiqui56
 
Volkmann¶s ischemic contracture
Volkmann¶s ischemic contractureVolkmann¶s ischemic contracture
Volkmann¶s ischemic contractureSagar Savsani
 
Post Polio Residual Paralysis
Post Polio Residual ParalysisPost Polio Residual Paralysis
Post Polio Residual ParalysisVivek Jadawala
 
Anterior cruciate ligament-Injury & management
Anterior cruciate ligament-Injury & managementAnterior cruciate ligament-Injury & management
Anterior cruciate ligament-Injury & managementAnand Rao
 
Jose Austine- Orthopaedic evaluation of cerebral palsy
Jose Austine- Orthopaedic evaluation of cerebral palsyJose Austine- Orthopaedic evaluation of cerebral palsy
Jose Austine- Orthopaedic evaluation of cerebral palsyJose Austine
 
Rotator cuff Tear and its management
Rotator cuff Tear and its managementRotator cuff Tear and its management
Rotator cuff Tear and its managementRohan Vakta
 
Knee instability
Knee instabilityKnee instability
Knee instabilitypunithpc605
 
Recurrent patellar dislocation
Recurrent patellar dislocationRecurrent patellar dislocation
Recurrent patellar dislocationboneheallerortho
 

La actualidad más candente (20)

ACL rehabilitation
ACL rehabilitationACL rehabilitation
ACL rehabilitation
 
Limb length discrepency
Limb length discrepencyLimb length discrepency
Limb length discrepency
 
Adv Rehab Draft 11.11.15
Adv Rehab Draft 11.11.15Adv Rehab Draft 11.11.15
Adv Rehab Draft 11.11.15
 
Articular cartilage
Articular cartilageArticular cartilage
Articular cartilage
 
Presentation on prosthetic foot
Presentation on prosthetic footPresentation on prosthetic foot
Presentation on prosthetic foot
 
Volkmann¶s ischemic contracture
Volkmann¶s ischemic contractureVolkmann¶s ischemic contracture
Volkmann¶s ischemic contracture
 
Post Polio Residual Paralysis
Post Polio Residual ParalysisPost Polio Residual Paralysis
Post Polio Residual Paralysis
 
Genu recurvatum
Genu recurvatumGenu recurvatum
Genu recurvatum
 
Congenital pseudoarthrosis tibia
Congenital pseudoarthrosis tibiaCongenital pseudoarthrosis tibia
Congenital pseudoarthrosis tibia
 
Biceps Rupture
Biceps Rupture Biceps Rupture
Biceps Rupture
 
Hip biomechanics
Hip biomechanicsHip biomechanics
Hip biomechanics
 
Anterior cruciate ligament-Injury & management
Anterior cruciate ligament-Injury & managementAnterior cruciate ligament-Injury & management
Anterior cruciate ligament-Injury & management
 
Genu Varum
Genu Varum Genu Varum
Genu Varum
 
Flat foot and Cavus foot
 Flat foot and Cavus foot Flat foot and Cavus foot
Flat foot and Cavus foot
 
Jose Austine- Orthopaedic evaluation of cerebral palsy
Jose Austine- Orthopaedic evaluation of cerebral palsyJose Austine- Orthopaedic evaluation of cerebral palsy
Jose Austine- Orthopaedic evaluation of cerebral palsy
 
Rotator cuff Tear and its management
Rotator cuff Tear and its managementRotator cuff Tear and its management
Rotator cuff Tear and its management
 
Knee instability
Knee instabilityKnee instability
Knee instability
 
Idiopathic scoliosis
Idiopathic scoliosis Idiopathic scoliosis
Idiopathic scoliosis
 
Chondrolysis
ChondrolysisChondrolysis
Chondrolysis
 
Recurrent patellar dislocation
Recurrent patellar dislocationRecurrent patellar dislocation
Recurrent patellar dislocation
 

Similar a Osteochondritis dissecans

Gct of distal radius
Gct of distal radiusGct of distal radius
Gct of distal radiusSumroeng Neti
 
Anotomic-Biological Reconstruction of Acromio-Clavicular Joint Injuries-Dr. U...
Anotomic-Biological Reconstruction of Acromio-Clavicular Joint Injuries-Dr. U...Anotomic-Biological Reconstruction of Acromio-Clavicular Joint Injuries-Dr. U...
Anotomic-Biological Reconstruction of Acromio-Clavicular Joint Injuries-Dr. U...TheRightDoctors
 
Limb salvage of lower extremity
Limb salvage of lower extremityLimb salvage of lower extremity
Limb salvage of lower extremityPaudel Sushil
 
Arthrolatarjet (Arthroscopic Latarjet Proc) Dr Sujit Jos kerala
Arthrolatarjet (Arthroscopic Latarjet Proc) Dr Sujit Jos keralaArthrolatarjet (Arthroscopic Latarjet Proc) Dr Sujit Jos kerala
Arthrolatarjet (Arthroscopic Latarjet Proc) Dr Sujit Jos keralaSujit Jos
 
Repair Methods for Full Thickness Rotator Cuff Tears: Implications for PT
Repair Methods for Full Thickness Rotator Cuff Tears: Implications for PTRepair Methods for Full Thickness Rotator Cuff Tears: Implications for PT
Repair Methods for Full Thickness Rotator Cuff Tears: Implications for PTHospital for Special Surgery
 
Results of Mini-Open Latarjet Procedure in Failed in Arthroscopic Bankart Rep...
Results of Mini-Open Latarjet Procedure in Failed in Arthroscopic Bankart Rep...Results of Mini-Open Latarjet Procedure in Failed in Arthroscopic Bankart Rep...
Results of Mini-Open Latarjet Procedure in Failed in Arthroscopic Bankart Rep...TheRightDoctors
 
role of external locking plate in stabilizing compound tibia fractures
role of external locking plate in stabilizing compound tibia fracturesrole of external locking plate in stabilizing compound tibia fractures
role of external locking plate in stabilizing compound tibia fracturesrangaraya medical college
 
Tunnel Enlargement in Single Bundle ACL Reconstruction Using Bio-Interference...
Tunnel Enlargement in Single Bundle ACL Reconstruction Using Bio-Interference...Tunnel Enlargement in Single Bundle ACL Reconstruction Using Bio-Interference...
Tunnel Enlargement in Single Bundle ACL Reconstruction Using Bio-Interference...TheRightDoctors
 
A Preliminary Report Of Outcomes In Arthroscopic Rotator Repair With Extracel...
A Preliminary Report Of Outcomes In Arthroscopic Rotator Repair With Extracel...A Preliminary Report Of Outcomes In Arthroscopic Rotator Repair With Extracel...
A Preliminary Report Of Outcomes In Arthroscopic Rotator Repair With Extracel...Professor M. A. Imam
 
Surgical treatment of Acetabular Fractures at MJRC.
Surgical treatment of Acetabular Fractures at MJRC.Surgical treatment of Acetabular Fractures at MJRC.
Surgical treatment of Acetabular Fractures at MJRC.Alampallam Venkatachalam
 
Difference in Early Results Between Sub-Acute and Delayed ACL reconstruction:...
Difference in Early Results Between Sub-Acute and Delayed ACL reconstruction:...Difference in Early Results Between Sub-Acute and Delayed ACL reconstruction:...
Difference in Early Results Between Sub-Acute and Delayed ACL reconstruction:...Henrik Illerström
 
Meniscus Transplant
Meniscus TransplantMeniscus Transplant
Meniscus Transplantsfkneerobot
 
Calcar replacement arthroplasty in treatment of failed trochanteric fractures
Calcar replacement arthroplasty in treatment of failed trochanteric fractures Calcar replacement arthroplasty in treatment of failed trochanteric fractures
Calcar replacement arthroplasty in treatment of failed trochanteric fractures AhmedYoussef671419
 
multiple-pelvic-fracture-repair-in-a-maine-coon
multiple-pelvic-fracture-repair-in-a-maine-coonmultiple-pelvic-fracture-repair-in-a-maine-coon
multiple-pelvic-fracture-repair-in-a-maine-coonaqmalhakim
 

Similar a Osteochondritis dissecans (20)

Gct of distal radius
Gct of distal radiusGct of distal radius
Gct of distal radius
 
Anotomic-Biological Reconstruction of Acromio-Clavicular Joint Injuries-Dr. U...
Anotomic-Biological Reconstruction of Acromio-Clavicular Joint Injuries-Dr. U...Anotomic-Biological Reconstruction of Acromio-Clavicular Joint Injuries-Dr. U...
Anotomic-Biological Reconstruction of Acromio-Clavicular Joint Injuries-Dr. U...
 
Case discussion 10
Case discussion 10Case discussion 10
Case discussion 10
 
Limb salvage of lower extremity
Limb salvage of lower extremityLimb salvage of lower extremity
Limb salvage of lower extremity
 
Knee Cartilage surgery in India
Knee Cartilage surgery in IndiaKnee Cartilage surgery in India
Knee Cartilage surgery in India
 
Arthrolatarjet (Arthroscopic Latarjet Proc) Dr Sujit Jos kerala
Arthrolatarjet (Arthroscopic Latarjet Proc) Dr Sujit Jos keralaArthrolatarjet (Arthroscopic Latarjet Proc) Dr Sujit Jos kerala
Arthrolatarjet (Arthroscopic Latarjet Proc) Dr Sujit Jos kerala
 
Repair Methods for Full Thickness Rotator Cuff Tears: Implications for PT
Repair Methods for Full Thickness Rotator Cuff Tears: Implications for PTRepair Methods for Full Thickness Rotator Cuff Tears: Implications for PT
Repair Methods for Full Thickness Rotator Cuff Tears: Implications for PT
 
Results of Mini-Open Latarjet Procedure in Failed in Arthroscopic Bankart Rep...
Results of Mini-Open Latarjet Procedure in Failed in Arthroscopic Bankart Rep...Results of Mini-Open Latarjet Procedure in Failed in Arthroscopic Bankart Rep...
Results of Mini-Open Latarjet Procedure in Failed in Arthroscopic Bankart Rep...
 
Christensen prosthesis
Christensen prosthesisChristensen prosthesis
Christensen prosthesis
 
role of external locking plate in stabilizing compound tibia fractures
role of external locking plate in stabilizing compound tibia fracturesrole of external locking plate in stabilizing compound tibia fractures
role of external locking plate in stabilizing compound tibia fractures
 
Tunnel Enlargement in Single Bundle ACL Reconstruction Using Bio-Interference...
Tunnel Enlargement in Single Bundle ACL Reconstruction Using Bio-Interference...Tunnel Enlargement in Single Bundle ACL Reconstruction Using Bio-Interference...
Tunnel Enlargement in Single Bundle ACL Reconstruction Using Bio-Interference...
 
Mipo
Mipo Mipo
Mipo
 
TKR For Failed Uniknee Replacement Surgery Dr Sandeep Agrawal Agrasen Hospita...
TKR For Failed Uniknee Replacement Surgery Dr Sandeep Agrawal Agrasen Hospita...TKR For Failed Uniknee Replacement Surgery Dr Sandeep Agrawal Agrasen Hospita...
TKR For Failed Uniknee Replacement Surgery Dr Sandeep Agrawal Agrasen Hospita...
 
A Preliminary Report Of Outcomes In Arthroscopic Rotator Repair With Extracel...
A Preliminary Report Of Outcomes In Arthroscopic Rotator Repair With Extracel...A Preliminary Report Of Outcomes In Arthroscopic Rotator Repair With Extracel...
A Preliminary Report Of Outcomes In Arthroscopic Rotator Repair With Extracel...
 
Surgical treatment of Acetabular Fractures at MJRC.
Surgical treatment of Acetabular Fractures at MJRC.Surgical treatment of Acetabular Fractures at MJRC.
Surgical treatment of Acetabular Fractures at MJRC.
 
Difference in Early Results Between Sub-Acute and Delayed ACL reconstruction:...
Difference in Early Results Between Sub-Acute and Delayed ACL reconstruction:...Difference in Early Results Between Sub-Acute and Delayed ACL reconstruction:...
Difference in Early Results Between Sub-Acute and Delayed ACL reconstruction:...
 
Evidence based medicine dr. saumya
Evidence based medicine dr. saumyaEvidence based medicine dr. saumya
Evidence based medicine dr. saumya
 
Meniscus Transplant
Meniscus TransplantMeniscus Transplant
Meniscus Transplant
 
Calcar replacement arthroplasty in treatment of failed trochanteric fractures
Calcar replacement arthroplasty in treatment of failed trochanteric fractures Calcar replacement arthroplasty in treatment of failed trochanteric fractures
Calcar replacement arthroplasty in treatment of failed trochanteric fractures
 
multiple-pelvic-fracture-repair-in-a-maine-coon
multiple-pelvic-fracture-repair-in-a-maine-coonmultiple-pelvic-fracture-repair-in-a-maine-coon
multiple-pelvic-fracture-repair-in-a-maine-coon
 

Más de sfkneerobot

Biologic Knee Replacement Presentation
Biologic Knee Replacement PresentationBiologic Knee Replacement Presentation
Biologic Knee Replacement Presentationsfkneerobot
 
Meniscus Transplant and Replacement
Meniscus Transplant and ReplacementMeniscus Transplant and Replacement
Meniscus Transplant and Replacementsfkneerobot
 
Rehabilitation after Meniscus Transplant
Rehabilitation after Meniscus TransplantRehabilitation after Meniscus Transplant
Rehabilitation after Meniscus Transplantsfkneerobot
 
Clavicle fractures
Clavicle fracturesClavicle fractures
Clavicle fracturessfkneerobot
 
Achilles tendon repair
Achilles tendon repairAchilles tendon repair
Achilles tendon repairsfkneerobot
 

Más de sfkneerobot (7)

Biologic Knee Replacement Presentation
Biologic Knee Replacement PresentationBiologic Knee Replacement Presentation
Biologic Knee Replacement Presentation
 
Meniscus Transplant and Replacement
Meniscus Transplant and ReplacementMeniscus Transplant and Replacement
Meniscus Transplant and Replacement
 
Rehabilitation after Meniscus Transplant
Rehabilitation after Meniscus TransplantRehabilitation after Meniscus Transplant
Rehabilitation after Meniscus Transplant
 
Clavicle fractures
Clavicle fracturesClavicle fractures
Clavicle fractures
 
Ankle injuries
Ankle injuriesAnkle injuries
Ankle injuries
 
Achilles tendon repair
Achilles tendon repairAchilles tendon repair
Achilles tendon repair
 
Meniscus repair
Meniscus repairMeniscus repair
Meniscus repair
 

Último

💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...Sheetaleventcompany
 
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Sheetaleventcompany
 
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...Sheetaleventcompany
 
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryCall 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryJyoti singh
 
Difference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac MusclesDifference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac MusclesMedicoseAcademics
 
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana GuptaLifecare Centre
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...gragneelam30
 
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...Sheetaleventcompany
 
Circulatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsCirculatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsMedicoseAcademics
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Availableperfect solution
 
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...Sheetaleventcompany
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Sheetaleventcompany
 
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...amritaverma53
 
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Dipal Arora
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...rajnisinghkjn
 
tongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacytongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacyDrMohamed Assadawy
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Sheetaleventcompany
 
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Sheetaleventcompany
 
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Namrata Singh
 

Último (20)

💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
 
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
 
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
 
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
 
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryCall 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
 
Difference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac MusclesDifference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac Muscles
 
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
 
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
 
Circulatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsCirculatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanisms
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
 
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
 
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
 
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
 
tongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacytongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacy
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
 
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
 
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
 

Osteochondritis dissecans

Notas del editor

  1. Jason Lovett
  2. First picture: One Herbert screw removed the second one slightly removed. Picture #2: After the screws were removed. Picture #3: The remaining OCD lesion. Picture #4: After the paste graft has been placed.
  3. The procedure step by step.
  4. ( Dulbecco/Vogt modified Eagle's minimal essential medium ), which contains approximately four times as much of the vitamins and amino acids present in the original formula and two to four times as much glucose .
  5. Kevin R. Stone, Biological Knee Reconstruction Annual Joint Preserving Meeting, Johns Hopkins 2004