Internal Fixation of Osteochondritis Dissecans Lesions in the Patellofemoral Joint

J Knee Surg DOI: 10.1055/s-0037-1607199Osteochondritis dissecans (OCD) lesions of the patellofemoral joint can be difficult to identify and treat. Asymptomatic or stable lesions in skeletally immature patients may be treated nonoperatively, but symptomatic lesions often require surgical intervention. Evidence of instability should be carefully evaluated with preoperative magnetic resonance imaging or computed tomography arthrogram. Careful preoperative planning is necessary to ensure the appropriate surgical approach and implants are selected for surgical management. Multiple techniques have been described, but internal fixation of both “classic” and cartilage-only OCD lesions has been shown to have strong outcomes in managing these difficult cases. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text

Source: Journal of Knee Surgery - October 4, 2017 Category: Orthopaedics Authors: Nuelle, Clayton W. Farr, Jack Tags: Special Focus Section Source Type: research