Editorial Commentary: Unstable Osteochondritis Dissecans in the Mature Knee: Internal Fixation Works, But We Need More Data

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منابع مشابه

Internal Fixation of Unstable Osteochondritis Dissecans in the Skeletally Mature Knee with Metal Screws

PURPOSE Several bioabsorbable and metal options are available for internal fixation of an unstable osteochondritis dissecans (OCD) lesion, but currently there are little data on outcomes with metal headless compression screws in the adult knee. The purpose of this study was to determine (1) the radiographic healing rates, (2) midterm clinical outcomes, and (3) comparison between healed and unhe...

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Clinical outcome of internal fixation of unstable juvenile osteochondritis dissecans lesions of the knee.

Juvenile osteochondritis dissecans (OCD) lesions of the knee are a common cause of knee pain in skeletally immature patients.The authors sought to determine lesion healing rates, the risk factors associated with failure to heal, and the clinical outcomes for patients who underwent internal fixation for unstable OCD lesions. A retrospective review was conducted of all patients who underwent inte...

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Arthroscopic preparation and internal fixation of an unstable osteochondritis dissecans lesion of the knee.

We present our arthroscopic technique for fixation of an unstable osteochondritis dissecans (OCD) lesion. This technique includes arthroscopic evaluation of cartilage and bone quality of the OCD fragment, hinging open the lesion, debridement of fibrous nonunion tissue, reducing the fragment, and obtaining multi-point compression screw fixation. This technique avoids the morbidity of an open art...

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Internal fixation of undisplaced lesions of osteochondritis dissecans in the knee.

A total of 11 patients (12 knees) with stable lesions of osteochondritis dissecans of the knee underwent arthroscopic fixation of the fragments using polylactide bioabsorbable pins. The site of the lesion was the medial femoral condyle in ten knees and the lateral femoral condyle in two. The mean age of the patients was 14.8 years (12 to 16). At a mean follow-up of 32.4 months (13 to 38 months)...

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Arthroscopic internal fixation of osteochondritis dissecans of the femoral head.

Osteochondritis dessicans of the femoral head is an uncommon problem. Limited literature reports the incidence of osteochondritis dessicans and its treatment. The surgical technique used and outcomes for a 40-year-old man with symptomatic femoral head osteochonditis dissecans who was treated 11 years previously with retrograde drilling and hip arthroscopy are discussed.Despite temporary symptom...

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ژورنال

عنوان ژورنال: Arthroscopy: The Journal of Arthroscopic & Related Surgery

سال: 2019

ISSN: 0749-8063

DOI: 10.1016/j.arthro.2019.05.040