Preuss Fletcher R, Whalen Ryan J, Buchalter Wyatt H, Ganokroj Phob, Provencher Broderick T, Provencher Matthew T
Department of Orthopaedic Surgery, University of California Los Angeles Medical Center, Los Angeles, California, U.S.A.
Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
Arthrosc Tech. 2024 Jul 9;13(11):103110. doi: 10.1016/j.eats.2024.103110. eCollection 2024 Nov.
Chronic Osgood-Schlatter disease can cause significant knee pain and can result in severe functional deficits. For large, painful Osgood-Schlatter disease ossicles refractory to conservative management, surgical ossicle excision can provide resolution of symptoms. After diagnostic arthroscopy and intra-articular debridement, our preferred excision technique uses an open incision for direct visualization and removal of intratendinous ossicles, followed by distal patellar tendon repair and subsequent fixation with FiberTape sutures and knotless anchors to the tibial tubercle.
慢性胫骨结节骨软骨炎可导致严重的膝关节疼痛,并可导致严重的功能缺陷。对于保守治疗无效的大型疼痛性胫骨结节骨软骨炎小骨,手术切除小骨可缓解症状。在诊断性关节镜检查和关节内清创后,我们首选的切除技术是采用开放切口直接观察并切除肌腱内小骨,随后修复髌腱远端,并用FiberTape缝线和无结锚钉将其固定于胫骨结节。