[Refixation in osteochondrosis dissecans with resorbable material using magnetic resonance tomography in follow-up monitoring].
A new method for refixation of osteochondritis dissecans and osteochondral flake fractures by using absorbable pins, fibrin adhesive and autologous spongiosa transplantation is described. The diagnostics can be improved by using MR (magnetic resonance imaging) to demonstrate the preoperative status of the defect as well as the postoperative reintegration of the flake, bone vitality and continuity of the joint cartilage. MR information is an excellent addition to the conventional radiograms for preoperative planning as well as for postoperative decision when to allow daily and sports activities. The clinical and radiological preliminary results of the described method show a complete reintegration in all cases of osteochondritis dissecans of the femur condyle.
Lütten
C
C
Allgemeines Krankenhaus Barmbek, Hamburg, I. Orthopädische Abteilung.
Lorenz
H
H
Thomas
W
W
D000293:Adolescent; D000328:Adult; D016025:Bone Transplantation; D002358:Cartilage, Articular / Q000601:surgery; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000473:pathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D010007:Osteochondritis / Q000601:surgery*; D010008:Osteochondritis Dissecans / Q000601:surgery*; D016687:Polydioxanone; D011091:Polyesters; D011183:Postoperative Complications / Q000175:diagnosis*; D013537:Sutures; D014945:Wound Healing
D011091:Polyesters; D016687:Polydioxanone
Refixation bei der Osteochondrosis dissecans mit resorbierbarem Material unter Verlaufsbeobachtung mit der Kernspintomographie (MR).