Takahashi Yoshimasa, Nawata Koji, Hashiguchi Hirokazu, Kawaguchi Kei, Yamasaki Daisuke, Tanaka Hidetoshi
Department of Orthopedic Surgery, San-in Rosai Hospital, 1-8-1 Kaike-Shinden Yonago, Tottori, 683-8605, Japan.
Arch Orthop Trauma Surg. 2008 May;128(5):469-72. doi: 10.1007/s00402-007-0412-x. Epub 2007 Aug 16.
Osteochondritis dissecans of the bilateral trochlea of femur is unusual case for orthopedic surgeon. The patient was a healthy 15-year-old male with symptomatic osteochondritis dissecans of the bilateral distal lateral femoral condyle of the trochlea. A surgery on the bilateral knee joints was performed simultaneously. The osteochondral free fragment of the right knee was resected by a minimum open surgery after arthroscopic evaluation. In the left knee the fragment was stabilized with multiple cortical bone pegs harvested from the proximal tibia. The surgery was successful, and the patient was able to play basketball 3 months postoperatively. The course of the right knee is currently under careful observation because of the possibility of recurrence. The left knee has remained in an excellent condition for 18 months following surgery with bone pegs.
双侧股骨滑车剥脱性骨软骨炎对骨科医生来说是罕见病例。该患者是一名15岁健康男性，患有双侧股骨滑车远端外侧有症状的剥脱性骨软骨炎。同时对双侧膝关节进行了手术。在关节镜评估后，通过最小限度的开放手术切除了右膝的骨软骨游离碎片。在左膝，用从胫骨近端采集的多根皮质骨栓将碎片固定。手术成功，患者术后3个月能够打篮球。由于有复发的可能性，目前正在密切观察右膝的病程。左膝在使用骨栓手术后18个月一直保持良好状态。
