Patella osteochondritis dissecans end stage: The osteochondral mosaicplasty option

Orthopaedics & Traumatology, Surgery & Research : OTSR
E VisonàB Moyen

Abstract

Patellar damage during osteochondritis dissecans of the knee is rare. There were two objectives to this study: evaluate the functional results of surgical treatment by mosaicplasty in this disease as well as evaluate articular surface reconstruction and cylindrical bone plugs incorporation. Six consecutive cases of patella osteochondritis dissecans in young athletes were treated using mosaicplasty by the same senior surgeon between 2002 and 2007. All these cases presented ICRS stage IV osteochondritis dissecans with an empty defect lesion. The average age at diagnosis was 20.5 ± 9.2 years old. The pre- and post-operative clinical evaluation was based on the IKDC subjective knee evaluation, the Lysholm and Tegner scores, CT arthrography and MRI. Evaluation of the functional results of surgical treatment at a mean follow-up of 26 months showed an average IKDC subjective evaluation score of 66.3, a Lysholm score of 85 and a Tegner score of 5.7 (37.2, 58.3 and 3.5 respectively before surgery). The radiological evaluation showed articular surface reconstruction with satisfying congruency and good incorporation of the graft into the bone at the receptor site, except in one patient in whom a 5mm diameter cartilage defect and a loose b...Continue Reading

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Citations

Apr 11, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Vasilios SkiadasStefanos Lahanis
Apr 28, 2016·International Orthopaedics·Lamine ChadliDjamel Louahem
Jan 4, 2015·The American Journal of Sports Medicine·Dennis E KramerBenton E Heyworth
May 1, 2012·Revista Brasileira De Ortopedia·Moises CohenAbdalla Skaf
Jun 11, 2019·Journal of Orthopaedic Surgery·Erkan Akgün, Ahmet Onur Akpolat
Apr 6, 2012·Clinical Orthopaedics and Related Research·Bryon J X TeoJames H Hui
Jan 4, 2020·The American Journal of Sports Medicine·Betina B HinckelSeth L Sherman

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