A novel surgical procedure for osteochondritis dissecans of the lateral femoral condyle: Exchanging osteochondral plugs taken from donor and recipient sites.
We treated a 16-year-old boy who had a large symptomatic osteochondritis dissecans (OCD) lesion of the lateral femoral condyle by exchanging osteochondral plugs taken from the donor site with plugs taken from the recipient site. At final inspection 36 months after surgery, he had full range of motion and no symptoms in his knees. Our methods can be used to treat grade 2 or 3 OCD lesions, as classified by Clanton and DeLee.
Nakagawa
Yasuaki
Y
Department of Orthopaedic Surgery, Faculty of Medicine, Kyoto University, Kyoto, Japan. ynaka@kuhp.kyoto-u.ac.jp
Matsusue
Yoshitaka
Y
Nakamura
Takashi
T
D000293:Adolescent; D001858:Bone Nails; D002358:Cartilage, Articular / Q000637:transplantation*; D005269:Femur / Q000637:transplantation*; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*; D010008:Osteochondritis Dissecans / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D011859:Radiography; D014182:Transplantation, Autologous; D014945:Wound Healing