膝关节不稳定剥脱性骨软骨炎病变的关节镜下准备及内固定术
Arthroscopic preparation and internal fixation of an unstable osteochondritis dissecans lesion of the knee.
作者信息
Camp Christopher L, Krych Aaron J, Stuart Michael J
机构信息
Department of Orthopedic Surgery and Sports Medicine Center, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, U.S.A.
出版信息
Arthrosc Tech. 2013 Nov 8;2(4):e461-5. doi: 10.1016/j.eats.2013.07.005. eCollection 2013 Nov.
Abstract
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.
摘要
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。
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本文引用的文献
1
Surgical management of juvenile osteochondritis dissecans of the knee.
Knee Surg Sports Traumatol Arthrosc. 2012 Dec;20(12):2419-29. doi: 10.1007/s00167-012-1917-6. Epub 2012 Feb 11.
2
Juvenile osteochondritis dissecans of the knee: predictors of lesion stability.
J Pediatr Orthop. 2012 Jan-Feb;32(1):1-4. doi: 10.1097/BPO.0b013e31823d8312.
3
Diagnosis and treatment of osteochondritis dissecans.
J Am Acad Orthop Surg. 2011 May;19(5):297-306. doi: 10.5435/00124635-201105000-00007.
4
Juvenile osteochondritis dissecans.
Sports Med Arthrosc Rev. 2011 Mar;19(1):56-63. doi: 10.1097/JSA.0b013e31820b94b9.
5
Bioabsorbable lag screw fixation of knee osteochondritis dissecans in the skeletally immature.
J Pediatr Orthop B. 2011 Mar;20(2):74-80. doi: 10.1097/BPB.0b013e328341dfb4.
6
Evaluation and treatment of osteochondritis dissecans lesions of the knee.
J Knee Surg. 2008 Apr;21(2):106-15. doi: 10.1055/s-0030-1247804.
7
Management of osteochondritis dissecans of the knee: current concepts review.
Am J Sports Med. 2006 Jul;34(7):1181-91. doi: 10.1177/0363546506290127.
8
Osteochondritis dissecans of the knee in children.
Curr Opin Pediatr. 2003 Feb;15(1):38-44. doi: 10.1097/00008480-200302000-00007.
9
Osteochondritis Dissecans of the Knee: Treatment of Juvenile and Adult Forms.
J Am Acad Orthop Surg. 1995 Jul;3(4):237-247. doi: 10.5435/00124635-199507000-00006.
10
Osteochondritis dissecans: a multicenter study of the European Pediatric Orthopedic Society.
J Pediatr Orthop B. 1999 Oct;8(4):231-45.
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