Camp Christopher L, Krych Aaron J, Stuart Michael J
Department of Orthopedic Surgery and Sports Medicine Center, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, U.S.A.
Arthrosc Tech. 2013 Nov 8;2(4):e461-5. doi: 10.1016/j.eats.2013.07.005. eCollection 2013 Nov.
We present our arthroscopic technique for fixation of an unstable osteochondritis dissecans (OCD) lesion. This technique includes arthroscopic evaluation of cartilage and bone quality of the OCD fragment, hinging open the lesion, debridement of fibrous nonunion tissue, reducing the fragment, and obtaining multi-point compression screw fixation. This technique avoids the morbidity of an open arthrotomy and should be considered when treating an unstable OCD lesion with adequate bone for fixation.
我们展示了用于固定不稳定的剥脱性骨软骨炎（OCD）病变的关节镜技术。该技术包括对OCD碎片的软骨和骨质进行关节镜评估、打开病变处形成铰链、清除纤维性骨不连组织、复位碎片以及进行多点加压螺钉固定。该技术避免了切开手术的并发症，在治疗有足够固定骨质的不稳定OCD病变时应予以考虑。
