Din R, Annear P, Scaddan J
Orthopaedic Department, Princess Margaret Hospital, Roberts Road, Subiaco, Perth, Western Australia.
J Bone Joint Surg Br. 2006 Jul;88(7):900-4. doi: 10.1302/0301-620X.88B7.17210.
A total of 11 patients (12 knees) with stable lesions of osteochondritis dissecans of the knee underwent arthroscopic fixation of the fragments using polylactide bioabsorbable pins. The site of the lesion was the medial femoral condyle in ten knees and the lateral femoral condyle in two. The mean age of the patients was 14.8 years (12 to 16). At a mean follow-up of 32.4 months (13 to 38 months) all fragments had MRI evidence of union. One patient developed early transient synovitis, which resolved with non-steroidal anti-inflammatory medication. All patients returned to sporting activities within eight months of operation and did not require a period of immobilisation.
共有11例（12膝）膝关节剥脱性骨软骨炎稳定病变患者接受了使用聚乳酸生物可吸收钉对碎片进行关节镜下固定。病变部位在10膝为股骨内侧髁，2膝为股骨外侧髁。患者的平均年龄为14.8岁（12至16岁）。平均随访32.4个月（13至38个月）时，所有碎片在MRI上均有愈合迹象。1例患者出现早期短暂性滑膜炎，使用非甾体类抗炎药物后症状缓解。所有患者在术后8个月内恢复体育活动，且无需固定一段时间。
