Osteochondritis dissecans of the knee: Arthroscopic compression screw fixation

Johnson, Laverne C.; Uitvlugt, Greg; Austin, Michael D.; Detrisac, David A.; Johnson, Charlott

doi:10.1016/0749-8063(90)90073-m

Cited by 115 publications

(72 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The variability in surgeon preference for surgical treatment is reflected by the variability in surgical methods. These include drilling (both retrograde and antegrade [6,17,30,39,46], bone grafting [34,46,72], fixation [9,26,32,37], alignment procedures [71], and débridement [26]. Most authors have moved toward arthroscopic treatment that often involves small-gauge drilling and the possibility of lesion fixation [12,17,30,39,46].…”

Section: Treatmentmentioning

confidence: 99%

“…Multiple techniques have been described for fixation in OCD. Metallic compression screws have been used with success (radiographic union of the OCD lesion and resolution of symptoms); however, even the authors that promote this technique indicate that midterm (3-year) followup demonstrated an occasional (four of 35) failure [27,34]. Headed screws may damage opposing articular cartilage and should be removed at a second procedure usually 6 to 12 weeks after implantation, which provides an opportunity to assess healing and stability of the lesion, yet to minimize risk and decrease need for second surgeries, several authors have advocated the use of headless compression screws with 88% to 100% healing being reported [42,51,52,77].…”

Section: Treatmentmentioning

confidence: 99%

See 1 more Smart Citation

A Review of Knowledge in Osteochondritis Dissecans: 123 Years of Minimal Evolution from König to the ROCK Study Group

Edmonds

Polousky

2013

Clinical Orthopaedics &Amp; Related Research

215

223

View full text Add to dashboard Cite

Background Osteochondritis dissecans (OCD) was first described to provide an explanation for the nontraumatic development of loose bodies within a joint. Despite many reports on the subject, there remains no clear understanding of the etiology, natural history, or treatment. Questions/purposes This review was undertaken to delineate (1) the etiology of OCD; (2) the presentation and locations; (3) the most appropriate imaging modalities; and (4) the most effective treatment strategies. Methods We reviewed the English literature using a database compiled from a Medline search for ''osteochondritis dissecans''. We identified 1716 publications, 1246 of which were in English. After exclusions, we reviewed 748 articles and of these cited 85. The observations of each study were then synthesized into this report. Results There appears to be no consensus concerning the etiology of OCD lesions. The presentations and locations are variable, but the knee, ankle, and elbow are most commonly involved. Although plain film assessment is important in OCD, there appears to be a trend toward the use of MRI, but the preferred sequences are in evolution. We found no consensus on the treatment of these lesions, related in part to the lack of agreement of methods for assessing outcomes. Conclusions Despite more than a century of study, we have made little advancement in our understanding of OCD. A study group has been formed to address this issue and actively seeks to answer these unknown issues regarding OCD.

show abstract

Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

A Review of Knowledge in Osteochondritis Dissecans: 123 Years of Minimal Evolution from König to the ROCK Study Group

Edmonds

Polousky

2013

Clinical Orthopaedics &Amp; Related Research

215

223

View full text Add to dashboard Cite

show abstract

“…In general, unstable lesions require partial removal with debridement to remove fibrous tissue and restore vascularity, followed by drilling [11], screw fixation [12,13], osteochondral autologous transplantation (OAT), autologous chondrocyte implantation [14] and a combination of them [15]. However, there have been a few reports of OAT used as surgical treatment for JOCD [16,17].…”

Section: Introductionmentioning

confidence: 99%

Osteochondral autograft transplantation for juvenile osteochondritis dissecans of the knee: a series of twelve cases

Sasaki

Matsumoto

Matsushita

et al. 2012

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose The purpose of this study was to evaluate the clinical outcomes of osteochondral autograft transplantation (OAT) for juvenile osteochondritis dissecans (JOCD) lesions of the knee, especially time to return to sports. Methods Twelve knee JOCD lesions with OCD grade 3 and 4 categorised by magnetic resonance imaging (MRI) were treated with OAT. Nine male and two female skeletally immature patients averaging 13.7 years old were included. The OCD lesions were assessed arthroscopically and then fixed in situ using multiple osteochondral plugs harvested under fluoroscopy from the distal femoral condyle without damaging the physis. International Cartilage Repair Society (ICRS) score and Lysholm score were assessed pre-and postoperatively.Results After a mean follow-up of 26.2±15.1 months, the International Knee Documentation Committee (IKDC) subjective score significantly improved (p<0.01). According to the IKDC score, objective assessment showed that ten of 12 (83 %) had excellent results (score: A) after OAT and significantly improved (p<0.01). Based on ICRS criteria, results were satisfactory in all patients. No patients experienced complications at the graft harvest site. All patients returned to their previous level of athletic activity at an average of 5.7 months after the surgery. Conclusions OAT for JOCD of the knee provided satisfactory results in all patients at a mean follow-up of 26.2 months.

show abstract

“…Based on analysis on the good results, in situ arthroscopic fixation techniques are indicated for preserving and maintaining joint congruence, especially for skeletally immature patients (JOCD) (49,50) . …”

Section: Fixation Of Fragmentsmentioning

confidence: 99%

Osteocondrite dissecante do joelho: diagnóstico e tratamento

Mestriner¹

2012

Rev. bras. ortop.

View full text Add to dashboard Cite

Osteochondritis dissecans of the knee: Arthroscopic compression screw fixation

Cited by 115 publications

References 13 publications

A Review of Knowledge in Osteochondritis Dissecans: 123 Years of Minimal Evolution from König to the ROCK Study Group

A Review of Knowledge in Osteochondritis Dissecans: 123 Years of Minimal Evolution from König to the ROCK Study Group

Osteochondral autograft transplantation for juvenile osteochondritis dissecans of the knee: a series of twelve cases

Osteocondrite dissecante do joelho: diagnóstico e tratamento

Contact Info

Product

Resources

About