Fate of the osteochondral fragments in osteochondritis dissecans after Legg-Calve-Perthes' disease.

Osteochondral Abnormalities: Pitfalls, Injuries, and Osteochondritis Dissecans

Osteochondral lesions most commonly occur about the knee but may affect any articular surface of the pediatric appendicular skeleton. Osteochondral lesions include osteochondritis dissecans, osteochondral fractures, and osteochondral abnormalities associated with secondary processes such as Legg-Calvé-Perthes disease. These abnormalities should not be confused with normal subchondral irregulari...

Arthroscopic osteochondral autologous transplantation for the treatment of osteochondritis dissecans of the femoral head

Osteochondritis dissecans (OCD) of the femoral head is an unusual cause of hip pain. It can be associated with other intra-articular pathologies including: acetabular labral tears or bone deformities such as Legg-CalvePerthes Disease (LCPD). In this article, we propose a modern surgical technique using an arthroscopic antegrade and retrograde osteochondral autologous transplantation (OAT) proce...

Osteochondritis dissecans following Legg-Calvé-Perthes' disease.

Cartilage restoration of the hip using fresh osteochondral allograft: resurfacing the potholes.

Cartilage defects of the hip cause significant pain and may lead to arthritic changes that necessitate hip replacement. We propose the use of fresh osteochondral allografts as an option for the treatment of such defects in young patients. Here we present the results of fresh osteochondral allografts for cartilage defects in 17 patients in a prospective study. The underlying diagnoses for the ca...

Evolution in diagnosis and treatment of Legg-Calve-Perthes disease

Legg-Calvé-Perthes disease (LCPD) is an idiopathic osteonecrosis of the femoral head with variable complications and resultant deformity of the femoral head and osteoarthritis. Suggested risk factors are acetabular retroversion, obesity, latitude, hyperactivity, and coagulopathy. The most commonly applied classification is based on radiolucency in the lateral pillar of the femoral head, which i...