Lee C K, Mercurio C
Clin Orthop Relat Res. 1981 Jul-Aug(158):129-6.
Four cases of osteochondritis dissecans, three of the knee and one of the talus in situ (prior to loosening of the fragment from its host bone) were successfully treated with modified drilling and bone grafting procedure. The procedure consists of retrograde insertion of a small guide pin through the radiolucent zone and osteochondral fragment to the subchondral bone, retrograde reaming of bone across the radiolucent zone into the osteochondral fragment with a bone biopsy needle, and cancellous bone grafting between the osteochondral fragment and the host bone. All lesions were found to be healed after more than six months' follow-up. Three patients had complete relief and the fourth had significant improvement of symptoms.
四例剥脱性骨软骨炎患者，其中三例为膝关节，一例为距骨原位病变（在骨块与其宿主骨分离之前），采用改良钻孔和植骨手术成功治疗。该手术包括通过透光区和骨软骨块逆行插入一根小导针至软骨下骨，用骨活检针穿过透光区对骨进行逆行扩孔至骨软骨块，以及在骨软骨块与宿主骨之间进行松质骨移植。经过六个月以上的随访，所有病变均愈合。三名患者症状完全缓解，第四名患者症状明显改善。
