[Reconstruction of the lateral tibial head by patellar transplantation].

OBJECTIVE

Restoration of the lateral tibial condyle, a functionally intact knee joint, and correct physiological axis.

INDICATIONS: Posttraumatic cartilage and bone defect of the lateral tibial condyle too severe for reconstruction in a young patient.

CONTRAINDICATIONS: Age > 50 years. Patellofemoral joint degeneration. Defect of the patella or lateral femoral condyle.

SURGICAL TECHNIQUE: Transplantation of the own, ipsilateral patella into the bone defect of the lateral tibial condyle.

RESULTS

The result in one patient was found to be excellent 5 years after the accident and was good in one other patient 13 years following trauma. The third patient showed a good result 1.5 years after the accident.