Salvage techniques in osteochondritis dissecans.
The central objective in the treatment of any osteochondritis dissecans lesion is to preserve the native articular cartilage and bone. Unfortunately, there are those cases that either fail to heal despite appropriate treatment or present in such a deteriorated state that primary fixation is not possible. This situation is generally determined by the condition of the progeny fragment. Primary fixation may not be the most viable option. In the case of an unsalvageable fragment, the surgeon is faced with several options, which are discussed in this article.
The Rocky Mountain Youth Sports Medicine Institute, 14000 East Arapahoe Road, Centennial, CO 80111, USA. Electronic address: johnpolousky@msn.com.
John D
JD
Polousky
Children's Hospital Colorado, 13123 East 16th Avenue, Aurora, CO 80045, USA.
Jay
J
Albright
D064591:Allografts; D002356:Cartilage / Q000637:transplantation; D002358:Cartilage, Articular / Q000601:surgery*; D019902:Chondrocytes / Q000637:transplantation; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D010008:Osteochondritis Dissecans / Q000601:surgery*; D061214:Patient Safety; D016879:Salvage Therapy / Q000009:adverse effects / Q000379:methods*; D014182:Transplantation, Autologous; D014945:Wound Healing
Autologous cartilage implantation; Autologous chondrocyte implantation; Cartilage; Osteochondral allograft; Osteochondral allografts; Osteochondritis dissecans (OCD); Osteochondritis dissecans lesion; Salvage