Twyman R S, Desai K, Aichroth P M
Westminster Hospital, London, England.
J Bone Joint Surg Br. 1991 May;73(3):461-4. doi: 10.1302/0301-620X.73B3.1670450.
Twenty-two knees with osteochondritis dissecans diagnosed before skeletal maturity were followed prospectively into middle age: 32% had radiographic evidence of moderate or severe osteoarthritis at an average follow-up of 33.6 years; only half had a good or excellent functional result. We found that osteoarthritis was more likely to occur if the defect was large or affected the lateral femoral condyle.