Chernchujit Bancha, Artha Arrisna
Department of Orthopaedics, Faculty of Medicine, Thammasat University Hospital, Bangkok, Thailand.
Arthrosc Tech. 2020 Aug 7;9(8):e1203-e1209. doi: 10.1016/j.eats.2020.04.021. eCollection 2020 Aug.
Osteochondritis dissecans (OCD) is a subchondral bone abnormality, in which subchondral bone and the overlying articular cartilage detach from the bony bed. Multiple techniques for OCD fixation have been described, including metallic, bioabsorbable implants and biological fixation. We describe a surgical technique for OCD lesions including bony bed preparation with curettage and microfracture, anatomic reduction, and fixation using a suture anchor to provide stability and healing of the lesion.
剥脱性骨软骨炎(OCD)是一种软骨下骨异常疾病,其中软骨下骨和覆盖其上的关节软骨与骨床分离。已有多种用于OCD固定的技术被描述,包括金属、生物可吸收植入物和生物固定。我们描述了一种针对OCD病变的手术技术,包括用刮匙刮除和微骨折进行骨床准备、解剖复位以及使用缝线锚钉进行固定,以提供病变的稳定性和愈合。