SUMMARY
Osteochondritis Dissecans (OCD) is an idiopathic, well-localized, pathological condition affecting the articular subchondral bone, and its overlying cartilage. In some cases it can progress to the detachment of the affected osteochondral region. Evaluating the stability of the lesion is a key part of providing the correct treatment. Stable lesions, particularly in juvenile patients, have a greater tendency to heal with non-surgical treatment, whereas unstable lesions usually require surgical management. The evaluation of instability of the affected osteochondral region can be assessed by magnetic resonance imaging and arthroscopy.
A total of 32 skeletally immature knees sustained OCD were included in this study.
Each knee was evaluated for potential OCD instability by MRI and arthroscopy. The bioabsorbable chondral darts were used for the fixation of the thirty-two osteochondral fragments, to secure their stability and mainly to stimulate their healing. For evaluation of the knee function preoperatively and postoperatively we used the online International Knee Documentation Committee (IKDC) system.
The mean patient age at the time of surgery was 12.64 ± 0.98 years (range 10-14 years).
The average follow-up was 2.58 ± 0.71 years (range, 2-4) years. The mean preoperative IKDC score was 31.67 ± 8.36 (range, 23-45) points. The mean postoperative IKDC score was 83.5 ± 1.52 (range, 81-86) points. The 2-tailed P-value < 0.001 was statistically significant.
MRI and arthroscopy are valuable tools for assessing the instability of the OCD lesion and its healing potential. The bioabsorbable chondral dart implant provides secure fixation and compression of the osteochondral fragment, increasing its healing potential.
Evaluation of Osteochondritis Dissecans of the Knee in Children with MRI. Arthroscopic Fixation with Bioabsorbable Chondral Darts. A Retrospective Study of 32 Knees
P. Megremis, O. Megremis
Original Article, 378-385
Keywords: arthroscopy, chondral darts, knee, MRI, Osteochondritis dissecans,
Table of Content: Vol. 12 (No.3) 2022 July/September
-
Motor Behavior Disorders in Children with Developmental Dyslexia: a Comprehensive Narrative Review of the Literature
G. Vecchio, E. Torsiello, M. Calabrese, J. Padulo, N. Maffulli, F. OlivaReview, 261-266 -
Therapeutic Effect of Aquatic Resistance Exercise on Rectus Femoris and Knee in a Model of Rheumatoid Arthritis
A. L. de Freitas Tavares, M. Neves, T. C. Schnauffer, L. de Araújo Pradal, T. Stein da Silva Leal, L. de Fátima Chasko Ribeiro, G. R. Flor BertoliniOriginal Article, 267-278 -
The Shoulder Activity Level: an Italian Translation, Cross-Cultural Adaptation and Validation
D. Montante, A. Marsocci, A. Peretti, F. Curti, D. Asciutti, F. MagnificaOriginal Article, 279-285 -
The Critical Shoulder Angle in a Middle Eastern Cohort: is There an Association with Rotator Cuff Tear?
S. M. Alqahtani, A. A. Albadran, F. Alsinan, Z. Alobaidan, N. Altarouti, W. Alarqan, F. Alhadad, S. A. Elyahia, S. S. Alsubaie, A. A. Almulhim, T. M. Hegazi, M. M. AlzahraniOriginal Article, 286-289 -
Patient Body Mass Index Has No Direct Effect on The Characteristics of Primary Tenocytes Derived from Torn Rotator Cuffs
S. M. Bolam, S. Konar1, Y.-E. Park, D. Ferguson, N. Dalbeth, B. Coleman, A. P. Monk, J. Cornish, J. T. Munro, D. S. MussonOriginal Article, 290-302 -
Identifying the Upper Subscapular Nerve as a Target for Chronic Shoulder Pain
K. Brooks, J. Farley, S. Probert, K. Hulk, O. Rahimi, M. McClure, M. EckmannOriginal Article, 303-307 -
Snapping of the Upper Limb: a Clinical Overview
M. Moscagiuri, A. Frizziero, D. Bigliardi, F. Vittadini, A. Pantalone, L. Perazzo, C. Costantino, R. BudaReview, 308-320 -
Local, Distal, Proximal, and Contralateral Effects of Low-Load Blood Flow Restriction Training on Upper Extremity Neuromuscular Performance of Healthy Women: a Randomized Placebo-Controlled Trial Protocol
M. T. M. Jales, W. S. Lima Júnior, Y. T. Pinheiro, G. M. Barbosa, M. C. de Souza, C. A. A. LinsOriginal Article, 321-330 -
Lower-Limb Connective Tissue Morphologic Characteristics in Runners. How Do They Relate with Running Biomechanics and Tendon Pathology? A Systematic Review
A. Rubio-Peirotén, F. García-Pinillos, A. Cartón-Llorente, D. Jaén-Carrillo, F. Abat, L. E. Roche-SeruendoReview, 331-351 -
Fat Mass as an Independent Variable to Assess the Possibility of Predicting the Stability in Postmenopausal Women with and Without Osteoporosis
M. Mofid, S. Mohebi, M. Darbani, Z. Basiri, H. Naderifar, G. TorkamanOriginal Article, 352-360 -
Autograft Soaking in Vancomycin in Anterior Cruciate Ligament Reconstruction Alters Tendons Structure: an Histopathological Interpretation
C. Quintas, J. P. Oliveira, P. Marques, A. Inês, F. FonsecaOriginal Article, 361-368 -
Inter-rater Reliability of Sports Medicine Physicians to Assess Healthy Individuals’ Patellar Tendon with Conventional Ultrasound and Shear-wave Elastography
S. Devran, S. Dincer, O. Ekiz, O. Pasin, B. BayraktarOriginal Article, 369-377 -
Evaluation of Osteochondritis Dissecans of the Knee in Children with MRI. Arthroscopic Fixation with Bioabsorbable Chondral Darts. A Retrospective Study of 32 Knees
P. Megremis, O. MegremisOriginal Article, 378-385 -
Intervention Treating Kinetic Chain Factors versus Heavy-Slow Resistance Training in Athletes with Patellar Tendinopathy: Protocol for a Randomized Blind Clinical Trial
E. H. Dias Araújo, L. M. Mendonça, N. Ramalho, T. T. Patricio Cordeiro, M. C. de Souza, R. Scattone SilvaOriginal Article, 386-395 -
Patients’ Perception of Technology: an Update of Patients’ Understanding of Robotics and Navigation in Total Joint Arthroplasty
M. Lavelle, S. Haziza, S. Huntley, B. Conte, M. D’Apuzzo, V. H. HernandezOriginal Article, 396-403 -
A Discussion on The Utility of Discharge Location Prediction Models for Total Joint Arthroplasty Surgery
S. Haziza, V. H. Hernandez, J. A. Carvajal, J. Ocksrider, C. Zieminski, C. Rosenberg, A. Shrestha, N. H. LebwohlOriginal Article, 404-410 -
Even Patients with Very Chronic Symptoms of Greater Trochanteric Pain Syndrome (GTPS) may Report Improvements Following Radial Extracorporeal Shockwave Therapy (rESWT), but no Single Baseline Factor Predicts Response
P. C. WheelerOriginal Article, 411-421 -
Is Posterolateral Incision Better than Direct Posterior Incision in Chronic Tear of Achilles Tendon Reconstruction? A comparative Study of Series of Cases
S. K. Rai, T. P. Gupta, G. K. Gupta, O. Shaki, M. Behera, A. KaleOriginal Article, 422-431 -
Skeletal Muscle Fibre Characteristics of the Lumbar Multifidus Muscle in Patients Undergoing Microdiscectomy for Unilateral Lumbar Disc Herniation
S. Stevens, A. Agten, T. Snijders, M. Plazier, S. Bamps, T. Assieker, M. W. Betz, A. Timmermans, L. J. C. van Loon, F. VandenabeeleOriginal Article, 432-443 -
Gender Differences in Ultrasound Imaging of Lateral Abdominal Muscle Thickness and Trunk Mobility
P. Niewiadomy, K. Szuścik-Niewiadomy, M. Kochan, N. Kędra, M. KuszewskiOriginal Article, 444-451