Internal Fixation of Osteochondritis Dissecans Lesions in the Patellofemoral Joint
- 4 October 2017
- journal article
- research article
- Published by Georg Thieme Verlag KG in The Journal of Knee Surgery
- Vol. 31 (03), 206-211
- https://doi.org/10.1055/s-0037-1607199
Abstract
Osteochondritis dissecans (OCD) lesions of the patellofemoral joint can be difficult to identify and treat. Asymptomatic or stable lesions in skeletally immature patients may be treated nonoperatively, but symptomatic lesions often require surgical intervention. Evidence of instability should be carefully evaluated with preoperative magnetic resonance imaging or computed tomography arthrogram. Careful preoperative planning is necessary to ensure the appropriate surgical approach and implants are selected for surgical management. Multiple techniques have been described, but internal fixation of both “classic” and cartilage-only OCD lesions has been shown to have strong outcomes in managing these difficult cases.Keywords
This publication has 33 references indexed in Scilit:
- Bioabsorbable Fixation of Unstable Osteochondritis Dissecans LesionsThe American Journal of Sports Medicine, 2010
- Osteochondral Integration of Multiply Incised Pure Cartilage Allograft: Repair Method of Focal Chondral Defects in a Porcine ModelThe American Journal of Sports Medicine, 2009
- Osteochondritis Dissecans of the Adult KneeOperative Techniques in Sports Medicine, 2008
- Outcomes of Osteochondral Lesions of the Knee Repaired With a Bioabsorbable DeviceArthroscopy: The Journal of Arthroscopic & Related Surgery, 2008
- Internal Fixation of Juvenile Osteochondritis Dissecans Lesions of the KneeThe American Journal of Sports Medicine, 2007
- Management of Osteochondritis Dissecans of the KneeThe American Journal of Sports Medicine, 2006
- Arthroscopic Fixation of Osteochondritis Dissecans of the KneeThe American Journal of Sports Medicine, 2005
- Osteochondritis dissecans of the patella: Arthroscopic fixation with bioabsorbable pinsArthroscopy: The Journal of Arthroscopic & Related Surgery, 1997
- Osteochondritis dissecans of the trochlea of the femurArthroscopy: The Journal of Arthroscopic & Related Surgery, 1990
- The results of operative treatment of osteochondritis dissecans of the patellaThe American Journal of Sports Medicine, 1988