Osteochondritis dissecans of the knee. A long-term study.
Twenty-two knees with osteochondritis dissecans diagnosed before skeletal maturity were followed prospectively into middle age: 32% had radiographic evidence of moderate or severe osteoarthritis at an average follow-up of 33.6 years; only half had a good or excellent functional result. We found that osteoarthritis was more likely to occur if the defect was large or affected the lateral femoral condyle.
Twyman
R S
RS
Westminster Hospital, London, England.
Desai
K
K
Aichroth
P M
PM
D000293:Adolescent; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D010003:Osteoarthritis / Q000000981:diagnostic imaging / Q000209:etiology; D010008:Osteochondritis Dissecans / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D010146:Pain / Q000209:etiology; D011446:Prospective Studies; D011859:Radiography; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome