Osteochondritis Dissecans of the Knee - Conservative Treatment Strategies: A Systematic Review

Cartilage
Luca AndrioloGiuseppe Filardo

Abstract

Osteochondritis dissecans (OCD) lesions are a relevant problem that affects the long-term prognosis of young patients. The purpose of this study was to analyze the evidence on potential and indications of nonsurgical treatment strategies for knee OCD. The search was conducted on 3 medical electronic databases according to PRISMA guidelines, including reports of any level of evidence dealing with the conservative management of knee OCD. Of 1688 identified records, 55 full-text articles were screened: 27 studies met the inclusion criteria, for a total of 908 knees, and were used for the analysis. No high-level studies were found: 24 articles were case series and 3 case reports, reporting on different treatments summarized in (1) restriction of physical activity, (2) physiokinesitherapy and muscle-strengthening exercises, (3) physical instrumental therapies, (4) limitation of weightbearing, and (5) immobilization. The analysis showed an overall healing rate of 61.4%, with large variability (10.4%-95.8%). A conservative treatment based on restriction of sport and strenuous activities seems a favorable approach, possibly combined with physiokinesitherapy. Negative prognostic factors were also identified: larger lesion size, more sev...Continue Reading

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Citations

Aug 19, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Luca AndrioloGiuseppe Filardo
Dec 14, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Giuseppe FilardoDennis C Crawford
Dec 4, 2020·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Drake G LeBrunJohn T R Lawrence
Feb 16, 2021·Current Reviews in Musculoskeletal Medicine·Matthew HowellChristopher W Gee
Jun 17, 2021·Revista española de cirugía ortopédica y traumatología·J M BogalloE Guerado

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Methods Mentioned

BETA
X-ray

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