L’ostéochondrite disséquante des condyles fémoraux

Lefort, G.; Moyen, B.; Beaufils, Philippe; Billy, B. de; Breda, R.; Cadilhac, C.; Clavert, J; Djian, P.; Fénoll, B.; Giacomelli, M.-C.; Gicquel, Philippe; Gicquel-Schlemmer, B.; Journeau, Pierre; Claude, Karger; Lăptoiu, Dan; Mainard-Simard, L.; Negreanu, I; Prové, S.; Robert, H.; Thaunat, Mathieu; Versier, G.

doi:10.1016/s0035-1040(06)75868-8

Cited by 34 publications

(9 citation statements)

References 96 publications

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“…Multiple perforations (5–10) using a fine 1.2–1.5-mm diameter K-wire are made through the articular cartilage, opposite to the lesion of the subchondral bone and passing beyond the zone of sclerosis that circumscribes the lesion. After the drilling, one must observe bleeding from the healthy underlying bone through the puncture holes [16].…”

Section: Methodsmentioning

confidence: 99%

Juvenile osteochondritis of femoral condyles: Treatment with transchondral drilling. Analysis of 40 cases

Rammal

Phillipe

Schneider

et al. 2010

Journal of Children's Orthopaedics

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Introduction Osteochondritis dissecans (OCD) of the femoral condyle is a rare lesion. Materials and methods A retrospective study (level IV evidence) analyzing a series of 40 pediatric cases with juvenile femoral condyles osteochondritis treated by arthroscopic multiple transchondral drilling between February 1999 and June 2008 was undertaken. This lesion affected the medial condyle in 87.5% of cases. The average age at treatment was 13.4 years. Our study took into account the location of the lesion and its radiological evolutionary stage. The average follow up was 14.8 months. The postoperative evaluation was based on the clinical and radiological scores of Hughston. Results Good clinical and radiological results in 97.5 and 95% of cases,respectively were obtained, with a significant correlation (P \ 0.001) between clinical scores and radiological Hughston scores. The closed nature of the growth plate during surgery has a significant deleterious effect (P \ 0.001) on the clinical and radiological score of Hughston. Conclusion All patients presenting juvenile condylar osteochondritis with open growth plate during treatment had good clinical and radiological results, confirming the validity and effectiveness of multiple transchondral drilling in this type of lesion.

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Section: Methodsmentioning

confidence: 99%

Juvenile osteochondritis of femoral condyles: Treatment with transchondral drilling. Analysis of 40 cases

Rammal

Phillipe

Schneider

et al. 2010

Journal of Children's Orthopaedics

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“… 9 , 10 Lefort et al. 11 reported a failure rate of 53% with isolated screw fixation in adult OCD patients. However, this failure rate decreased to 23% in skeletally immature or juvenile OCD patients.…”

Section: Discussionmentioning

confidence: 99%

Osteochondritis Dissecans of the Knee: Arthroscopic Suture Anchor Fixation

C้hernchujit

Artha

2020

Arthroscopy Techniques

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Osteochondritis dissecans (OCD) is a subchondral bone abnormality, in which subchondral bone and the overlying articular cartilage detach from the bony bed. Multiple techniques for OCD fixation have been described, including metallic, bioabsorbable implants and biological fixation. We describe a surgical technique for OCD lesions including bony bed preparation with curettage and microfracture, anatomic reduction, and fixation using a suture anchor to provide stability and healing of the lesion.

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“…For unstable OCD lesions in adults (Bedouelle IIB and III, or ICRS III‐IV), surgical treatment is favored as non‐operative management does not achieve definitive integration of the OCD fragment past skeletal maturity [11]. Anderson et al recommended either metal screw fixation or mosaicplasty [2].…”

Section: Discussionmentioning

confidence: 99%

“…One woman and six men were included with a median age at diagnosis of 18 years (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25). Median duration of symptoms before diagnosis was 21 months .…”

Section: Methodsmentioning

confidence: 99%

“…Radiographs of the knee and either Magnetic Resonance Imaging (MRI) or Computed Tomography (CT) arthrograms were done in each case. Standard radiographs enabled classification of the lesions according to Bedouelle [11], and assessment of lesion volume and localization according to Cahill and Berg [5] and Harding [8]. The Radiographic Hughston score was also determined for each patient [9].…”

Section: Perioperative Assessmentmentioning

confidence: 99%

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