Knee Pictures


In the begining: Right Knee

Note lack of joint space, the lines drawn are the surgeon calculating how much of an angle to introduce with the Osteotomies - 14 degrees in this case



2000 Surgery of Right Knee

Label on the Genzyme Cultured Chondroyten

Damage on the right side. Cartilage should be nice and smooth

A template is made to determine patch size

The old Cartilage is cleaned back to a respectable point. This area measures 54 mm long, 28 mm wide (rouchly 2 x 1 inches.).

This Subchondral bone blushing. Normal appearance after the hard sclerotic (old Hard bone) is removed. Considered to be prep for the cells which allows the cells to attach better.

A cover patch is sewed down and made waterproof. This will hold the cartilage cells

The result of the High tibial valgus osteotomy, closing of wedge 14 degrees. note the line showing wher the bone wedge was removed.

Showing both the High tibial valgus osteotomy, closing of wedge 14 degrees and the tibial tubercle osteotomy.

Same as above but from the other side

This shows the fibular osteotomy. It has to be done with the closing wedge so as the fibular head does not interfere with the joint line post operatively.

This is the long axial alignment, shows what a 14 degree ofset looks like in an X-ray

Side by side knees



2008 Surgery of Left Knee

Label on the Genzyme Cultured Chondroyten

Left knee - kissing leasions

Patella damage

Cartilage damage again

Cartilage damage again

Cartilage cleaned back at the damaged sites

Another view of Cartilage cleaned back at the damaged sites

Another view of Cartilage cleaned back at the damaged sites

Another view of Cartilage cleaned back at the damaged sites

This is measuring the slot for the meniscal transplant. The procedure is called the "Keyhole technique" which was made popular by Brian Cole and Jack Farr.

More measuring of the slot for the meniscal transplant. Note the sizes of damage: lateral femoral condyle 40x20 mm, lateral tibial plateau 30x20 mm

More measuring of the slot for the meniscal transplant. Note the sizes of damage: lateral femoral condyle 40x20 mm, lateral tibial plateau 30x20 mm

My new to me meniscal Cartilage. Note the square bone piece behind the cartilage, this will be inserted into the keyway that was measured above.

The patch material is called "Biogide" It is much better than periosteum (which was used on my first surgery). The patches are traced out and will be affixed to the remaining good cartilage covering the area that was damaged, it will be sealed and the new cartilage cells will be injected under this patch.

Once again, the patches are traced out

Once again, the patches are traced out