Document Detail

Surgical management of osteochondritis dissecans of the knee.
MedLine Citation:
PMID:  23378147     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Osteochondritis dissecans of the knee primarily affects subchondral bone, with a secondary effect on the overlying articular cartilage. This process can lead to pain, effusions, and loose body formation. While stable juvenile lesions often respond well to nonoperative management, unstable juvenile lesions, as well as symptomatic adult lesions, often require operative intervention. Short-term goals focus on symptomatic relief, while long-term expectations include the hope of preventing early-onset arthritis. Surgical options include debridement, loose body removal, microfracture, arthroscopic reduction and internal fixation, subchondral drilling, osteochondral autograft or allograft transplantation, and autologous chondrocyte implantation. Newer single-stage cell-based procedures have also been developed, utilizing mesenchymal stem cells and matrix augmentation. Proper treatment requires evaluation of both lesional (size, depth, stability) and patient (age, athletic level) characteristics.
Brandon J Erickson; Peter N Chalmers; Adam B Yanke; Brian J Cole
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Current reviews in musculoskeletal medicine     Volume:  6     ISSN:  1935-973X     ISO Abbreviation:  Curr Rev Musculoskelet Med     Publication Date:  2013 Jun 
Date Detail:
Created Date:  2013-05-07     Completed Date:  2013-05-08     Revised Date:  2013-07-11    
Medline Journal Info:
Nlm Unique ID:  101317803     Medline TA:  Curr Rev Musculoskelet Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  102-14     Citation Subset:  -    
, 1611W. Harrison St, Chicago, IL, 60612, USA,
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