Surgical Treatment Options for Osteochondritis Dissecans of the Knee

Sports Health - Tập 1 Số 4 - Trang 326-334 - 2009
Cecilia Pascual‐Garrido1,2, Allison G. McNickle1,2, Brian J. Cole3
1From the Rush University Medical Center, Chicago, Illinois
2Rush University Medical Center, 1725 West Harrison, Suite 1063, Chicago, IL 60612
3Rush University Medical Center, Chicago, Illinois

Tóm tắt

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 stability, physeal closure, and clinical symptoms. Reestablishing the joint surface, maximizing the osteochondral biologic environment, achieving rigid fixation, and ensuring early motion are paramount to fragment preservation. In cases where the fragment is not amenable to preservation, the treatment may include complex reconstruction procedures, such as marrow stimulation, osteochondral autograft, fresh osteochondral allograft, and autologous chondrocyte implantation. Treatment goals include pain relief, restoration of function, and the prevention of secondary osteoarthritis.

Từ khóa


Tài liệu tham khảo

10.1177/036354659702500617

10.1016/S0749-8063(97)90028-1

10.1302/0301-620X.69B1.3818743

10.7863/jum.2008.27.2.255

10.1302/0301-620X.71B3.2722949

10.5435/00124635-199507000-00006

10.2106/00004623-199703000-00027

10.1016/S0278-5919(05)70309-4

10.1016/j.arthro.2003.09.025

10.1302/0301-620X.72B2.2312580

Denoncourt PM, 1986, Orthop Rev, 15, 652

10.1055/s-0030-1247804

10.1016/j.arthro.2007.07.025

10.1177/0363546507299932

10.1016/S0749-8063(88)80010-0

10.1097/01241398-200407000-00015

10.1016/S0363-5023(09)90017-X

10.1053/jars.2001.22397

10.1053/jvet.1999.0242

Garrett JC, Clin Orthop Relat Res, 1994, 33

10.3928/01477447-20070601-07

Gross AE, 2002, J Knee Surg, 15, 167

10.1007/s00167-006-0067-0

Guhl JF, Clin Orthop Relat Res, 1982, 65

10.2106/00004623-200300002-00004

Hefti F, 1999, J Pediatr Orthop B, 8, 231

10.2106/00004623-198466090-00003

10.1007/s00167-002-0294-y

10.2106/00004623-200710000-00002

10.1177/03635465010290050701

10.1177/0363546506290127

10.1007/s00167-005-0634-9

10.1016/j.arthro.2006.09.007

10.2519/jospt.2006.2175

10.2106/00004623-197759060-00010

10.1007/s00167-002-0320-0

10.1177/0363546505274717

10.1177/03635465980260062201

10.1016/B978-1-4160-3447-6.50055-7

10.1177/0363546506295178

10.1016/S0278-5919(05)70128-9

10.1016/j.arthro.2007.02.017

10.1097/00005373-198201000-00010

10.1002/jor.20332

10.1007/s00167-004-0521-9

10.2106/00004623-199501000-00009

Pappas AM, Clin Orthop Relat Res, 1981, 59

10.2106/00004623-200300002-00003

10.1053/jars.2001.17995

10.1177/03635465980260040201

10.1053/jars.2003.50112

10.1302/0301-620X.73B3.1670450

10.1177/0363546507300692

10.1007/s00167-003-0435-y

10.1177/03635465020300032301

Thông tin
Thông tin xuất bản

Sports Health

Tập 1 Số 4

326-334

Thông tin tác giả