Juvenile Knee Osteochondritis Dissecans.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] Conflict of interest statement: Disclosures The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: T.J.G. receives funding grants from Vericel. H.B.E. receives speaking and lecture fees from OrthoPediatrics; receives funding grants from Pediatric Orthopaedic Society of North America, Department of Defense Washington University in St. Louis, and American Orthopaedic Society for Sports Medicine; reports board membership with American Academy of Orthopaedic Surgeons, Pediatric Research in Sports Medicine, and Texas Orthopedic Association; and receives nonfinancial support from Arthrex and Pylant Medical. All other authors (B.C.M., K.G.S., P.L.W.) declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. 5. J Orthop. 2022 Aug 11;34:104-110. doi: 10.1016/j.jor.2022.08.005. eCollection 2022 Nov-Dec. Knee osteochondritis dissecans-treatment technical aspects. Brittberg M(1). Author information: (1)Cartilage Research Unit, University of Gothenburg, Region Halland Orthopaedics, Varberg Hospital, S-43237, Varberg, Sweden. PURPOSE AND OBJECTIVE: Current treatments of different stages of knee osteochondritis Dissecans (OCD) are depending on the age of the patients and the stability of the diseased osteochondral area. The purpose of this paper was to summarize the treatment alternatives in order to simplify the choice for the treating surgeon. BACKGROUND AND PRINCIPLE RESULTS: Osteochondritis dissecans (OCD) of the knee is an idiopathic and local osteochondral abnormality that affects mainly children and adolescents with risk of loosening of osteochondral fragments. A good clinical result can be expected when the physes are still open, when the osteochondritis is small and when the osteochondritis can be assessed as stable by MRI. Unstable OCD lesions most often need to be treated operatively by different fixation methods and when the osteochondral cannot be refixated, different local chondral and osteochondral repairs are available to fill up the defect area to congruity. SUMMARY AND MAJOR CONCLUSIONS: The final choice of which treatment to use is depending on fragment viability and forms. Viable fragments are refixated while poor quality fragments are removed followed by a local biological osteochondral repair. Such osteochondral resurfacing may be single bone marrow stimulation with or without scaffold augmentation or different cell seeded grafts. © 2022 The Author. DOI: 10.1016/j.jor.2022.08.005 PMCID: PMC9428728