Treatment of Unstable Osteochondral Dissecans Lesion of the Knee Joint Using Autologous Osteochondral Plug / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 69-76, 2016.
Article
in Korean
| WPRIM
| ID: wpr-649188
ABSTRACT
PURPOSE:
The purpose of this study was to evaluate the clinical results of fixation of the unstable osteochondral dissecans (OCD) lesion with autologous osteochondral plugs. MATERIALS ANDMETHODS:
This study was conducted in 19 patients who were relevant to the International Cartilage Repair Society 2, 3, or 4 who were treated with autologous osteochondral plugs and followed-up for more than 2 years from January 2004 to January 2012. Clinical evaluation was performed by comparing the preoperative and last follow-up scores of Lysholm score and subjective International Knee Documentation Committee (IKDC) score.RESULTS:
All patients were male and the average age was 19.1 years. Of the 19 cases, there were 16 cases of medial femoral condyle lateral side lesion, 2 cases of lateral femoral condyle articular surface, and 1 case of femoral intercondylar notch lesions. The average size of the lesion was 5.68 mm2, and average use of osteochodral plugs were 4.3. Average follow-up period was 38 months. Preoperative Lysholm score, IKDC subjective score showed significant improvement.CONCLUSION:
Fixation with autologous osteochondral plugs for unstable OCD uses the remnant tissues therefore conserving it, which is thought to be the positive aspect of this type of operation.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Cartilage
/
Follow-Up Studies
/
Knee
/
Knee Joint
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
/
Male
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
2016
Type:
Article
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