The arthroscopic treatment of osteochondritis dissecans of the knee with autologous bone sticks
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Data
2002-10-01
Autores
Navarro, Ricardo Dizioli [UNIFESP]
Cohen, Moises [UNIFESP]
Carneiro Filho, Mario [UNIFESP]
Silva, Rogerio Teixeira da [UNIFESP]
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Purpose: To present a new surgical technique for the fixation of partial dislocated osteochondral fragments in athletes with osteochondritis dissecans (OCD) of the knee. Type of Study: Retrospective case series. Methods: Autologous bone sticks were taken from the ipsilateral tibial metaphysis and used in the arthroscopic fixation of unilateral osteochondritis dissecans of the knee in 11 patients (5 female and 6 male). Patient age ranged from 11 to 20 years (mean, 16 years). Fixation of the partially dislocated fragments of the OCD of the knee was performed following a modified arthroscopic procedure and autologous bone graft. Results: Follow-up ranged from 15 to 108 months (mean, 48 months). Based on modified criteria of Hughston et al., results were satisfactory in 90.9% and unsatisfactory in 9.1 % of the cases. Conclusions: Arthroscopic fixation of OCD of the knee with autologous bone sticks is technically simple and nonaggressive and provides satisfactory results in most cases.
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Arthroscopy-the Journal of Arthroscopic and Related Surgery. Philadelphia: W B Saunders Co, v. 18, n. 8, p. 840-844, 2002.