Extra-articular, Intraepiphyseal Drilling for Osteochondritis Dissecans of the Knee: Characterization of a Safe and Reproducible Surgical Approach

Extra-articular Drilling for Adolescents with Osteochondritis Dissecans of the Talus

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Surgical Treatment Options for Osteochondritis Dissecans of the Knee

Osteochondritis dissecans of the knee is identified with increasing frequency in the young adult patient. Left untreated, osteochondritis dissecans can lead to the development of osteoarthritis at an early age, resulting in progressive pain and disability. Treatment of osteochondritis dissecans may include nonoperative or operative intervention. Surgical treatment is indicated mainly by lesion ...

Osteochondritis dissecans of the knee.

Osteochondritis dissecans (OCD) of the knee is a common cause of knee pain and dysfunction among skeletally immature and young adult patients. OCD is increasingly frequently seen in pediatric, adolescent and young adult athletes. If it is not recognized and treated appropriately, it can lead to secondary osteoarthritis with pain and functional limitation. Stable lesions in skeletally immature p...

Osteochondritis dissecans of the knee.

Arthroscopic surgical management of osteochondritis dissecans of the knee.

Surgical management of osteochondritis dissecans of the knee is indicated when the ununited fragment remains persistently ununited and the knee becomes symptomatic and does not respond to conservative measures of rest and immobilization. Traditionally, arthrotomy was done and either bone peg grafts, with or without fixation, or excision of the fragment and drilling of the base of the crater wer...