Johnny Silva Cancer Research

Followup

• Curing Running Injuries With Pilates

Three months postoperatively, the patient regained 0 to 110 degrees of flexion. He walks with no gait disturbance and is painfree. Two years postoperatively his result remains excellent.

Figure C2.1. Standing anteroposterior radiograph demonstrates normal tibiofemoral joint space, osteochondral defect of medial femoral condyle, early peripheral lateral osteophytes, and patchy sclerosis and lucency of the distal femur compatible with avascular necrosis.

DECISION-MAKING FACTORS 2. Ongoing use of oral steroids.

3. Global nature of avascular necrosis and

1. Low-demand, 55-year-old male with ongoing steroid insult contraindicates the severely symptomatic multifocal avascular implementation of cartilage restoration, necrosis.

Figure C2.2. (A) Clinical photograph at the time of arthrotomy reveals discolored articular cartilage that is easily peeled off the distal femur. (B) Intraoperative appearance of total knee prosthesis.