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. Author manuscript; available in PMC: 2011 Dec 1.
Published in final edited form as: J Pediatr Orthop. 2010 Dec;30(8):758–766. doi: 10.1097/BPO.0b013e3181fcbaaf

FIGURE 4.

FIGURE 4

FIGURE 4

FIGURE 4

FIGURE 4

FIGURE 4

FIGURE 4

A–F, Preoperative MR arthrographic and radiographic images of a femoral OCD lesion and intraoperative pictures of the subsequent treatment. A, Preoperative anteroposterior radiographic demonstrating reduced CTD, a mushroom shaped femoral headand femoralOCD lesion. B, Preoperative sagittal (left) and axial (right) MR arthrogram images demonstrating a femoral OCD lesion. C, Intraoperative photographs of a femoral head OCD lesion undergoing debridement. D, Intraoperative photographs of anosteochondroplasty of the femoral head-neck juntion being performed which will be used as the osteochondral autograft for the femoral head OCD lesion. E, Intraoperative photographs and postoperative radiographs of an osteochondral autograft of a femoral head OCD lesion. F, Postoperative anteroposterior radiographic demonstrating improved CTD and head-neck offset, and healing off emoral OCD lesion. CTD indicates center trochanteric distance; OCD, osteochondral defect; MR, magnetic resonance.