title: Screw fixation of an OCD loose body: 21-year results.
abstract: Osteochondritis dissecans (OCD) lesions can progress to loose body formation for which treatment is controversial and may involve excision or fixation. There is a paucity of published data regarding long-term outcomes following OCD loose body fixation. This case report presents an interval follow-up of a patient from a previous small case series of individuals who underwent open reduction internal fixation of large, lateral OCD loose bodies. At 21-year follow-up the patient has full, pain-free range of motion, and has not required subsequent surgery. This case, to our knowledge, is the first to report over 20-year follow-up from fixation of an OCD loose body and demonstrates a good long-term outcome. Clinicians should consider replacement and fixation of an OCD loose body when possible, as this may provide the best chance of long-term function.
authors.affiliation: Harvard Medical School, Boston, Massachusetts.
authors.forename: Gregory L
authors.initials: GL
authors.lastname: Cvetanovich
authors.affiliation: Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois.
authors.forename: Nathan A
authors.initials: NA
authors.lastname: Mall
authors.affiliation: Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois.
authors.forename: Geoffrey S
authors.initials: GS
authors.lastname: Van Thiel
authors.affiliation: Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois.
authors.forename: Jaskarndip
authors.initials: J
authors.lastname: Chahal
authors.affiliation: Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois.
authors.forename: Bernard
authors.initials: B
authors.lastname: Bach
mesh_terms: D000328:Adult; D018771:Arthralgia / Q000209:etiology / Q000601:surgery; D001182:Arthroscopy; D001863:Bone Screws; D003646:Debridement; D006801:Humans; D007594:Joint Loose Bodies / Q000209:etiology / Q000601:surgery*; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D010008:Osteochondritis Dissecans / Q000150:complications / Q000601:surgery*