Suture fixation as a treatment for acute traumatic osteochondral lesions.
This is a report on the treatment of traumatic osteochondral lesions with suture fixation. Equivocal results from traditional, conservative treatment modalities have resulted in a recent surge in research in this area. Literature reports of treatments for these lesions often rely on a fibrocartilage healing response that exhibits inadequate weight bearing, lubricating, and durability qualities. We describe here a method by which a large, intact osteochondral fragment over the articulating, weight-bearing portion of the patella may be repaired using suture. This method allows for the preservation of the articular topography without many of the complications seen using other fixation techniques.
Dhawan
A
A
Department of Orthopaedic Surgery, Albany Medical Center, New York, USA. amandhawan@hotmail.com
Hospodar
P P
PP
D000208:Acute Disease; D000328:Adult; D001182:Arthroscopy; D002358:Cartilage, Articular / Q000293:injuries / Q000601:surgery*; D005500:Follow-Up Studies; D005596:Fractures, Closed / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007718:Knee Injuries / Q000175:diagnosis / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D010329:Patella / Q000293:injuries* / Q000601:surgery; D013536:Suture Techniques