Surgical treatment options for osteochondritis dissecans of the knee

Cecilia Pascual-Garrido, Allison G. McNickle, Brian J. Cole

Research output: Contribution to journalArticle

24 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)326-334
Number of pages9
JournalSports Health
Volume1
Issue number4
DOIs
StatePublished - Jul 1 2009
Externally publishedYes

Keywords

  • Cartilage
  • Knee
  • Osteochondritis dissecans
  • Surgical treatment

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