The knee: internal fixation techniques for osteochondritis dissecans.
For the athlete with a newly diagnosed osteochondritis dissecans of the knee, the first step in formulating a treatment plan is determining the stability of the lesion. When the lesion is found to be unstable but salvageable, several methods for fixation are available. Fixation of osteochondritis dissecans in the athletic population has been described and each has its own advantages and disadvantages. Determining the most appropriate method for fixation depends on several variables and should include the athlete's level of play, sport, and overall goals.
Department of Orthopaedic Surgery, Duke University Medical Center, Box 3956, Durham, NC 27710, USA.
Nathan L
NL
Grimm
Department of Orthopaedics, Navy Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134, USA.
Christopher K
CK
Ewing
Department of Orthopaedics, Sports Medicine and Performance Center, The Children's Hospital of Philadelphia, 34th Street & Civic Center Boulevard, 2nd Floor, Wood Building, Philadelphia, PA 19104, USA. Electronic address: ganley@email.chop.edu.
Theodore J
TJ
Ganley
D020341:Absorbable Implants; D000293:Adolescent; D000328:Adult; D001863:Bone Screws; D002648:Child; D006801:Humans; D016268:Internal Fixators; D007719:Knee Joint / Q000503:physiopathology / Q000601:surgery*; D010008:Osteochondritis Dissecans / Q000601:surgery*; D011182:Postoperative Care; D055815:Young Adult
Fixation; Knee; Osteochondritis dissecans; Skeletally immature; Sports medicine