Lindholm T S, Osterman K
Arch Orthop Trauma Surg (1978). 1980;97(3):225-30. doi: 10.1007/BF00389731.
A review is reported covering 16 adolescent and 15 adult patients treated for osteochondritis dissecans of the femoral condyles by reconstruction of the articular surface and transfixation of the fragment in situ using autologous bone transplants and followed up for a period of up to 18 years. Sixty percent of the patients were totally symptom-free, whereas in others the clinical symptoms had consistently decreased. A radiologically estimated total remodelling of the condylar surface with union of fragment to the osseous bed was seen in 90%. The reduction of the fragment was incorrect in 16% of the cases. Resorption of the distal ends of cortical bone transplants in the articular surface of the condyle was total in 87%. No immobilization or removal of bone transplants was needed after surgery and all patients later on returned to their previous work.
报告了一项回顾性研究，涵盖16例青少年和15例成人患者，这些患者因股骨髁剥脱性骨软骨炎接受了关节面重建及使用自体骨移植将碎片原位固定的治疗，并随访了长达18年。60%的患者完全无症状，而其他患者的临床症状持续减轻。90%的患者在影像学上显示髁表面完全重塑，碎片与骨床愈合。16%的病例中碎片复位不正确。87%的患者髁关节面皮质骨移植远端完全吸收。术后无需固定或取出骨移植，所有患者后来都恢复了之前的工作。
