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Concomitant Osteochondral Autograft Transplantation and Fixation of Osteochondral Fragment for Treatment of a Massive Osteochondritis Dissecans: A Report of 8-Year Follow-up Results
Numerous procedures exist to treat osteochondritis dissecans (OCD); however, it remains a topic of debate which procedure is most ideal. When restoring a massive osteochondral defect, the use of only one procedure may not always allow complete filling of the defect. This case report presents a massi...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Knee Society
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4678248/ https://www.ncbi.nlm.nih.gov/pubmed/26672950 http://dx.doi.org/10.5792/ksrr.2015.27.4.263 |
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author | Lee, Byung Ill Kim, Byoung Min |
author_facet | Lee, Byung Ill Kim, Byoung Min |
author_sort | Lee, Byung Ill |
collection | PubMed |
description | Numerous procedures exist to treat osteochondritis dissecans (OCD); however, it remains a topic of debate which procedure is most ideal. When restoring a massive osteochondral defect, the use of only one procedure may not always allow complete filling of the defect. This case report presents a massive OCD with displaced osteochondral fragment and loose body in the knee joint that occupied almost all of the weight bearing area of the medial femoral condyle and was treated with concomitant osteochondral autograft transplantation and fixation of displaced osteochondral fragment. To our knowledge, this is a rare report on OCD treated with concomitant osteochondral autograft transplantation and fixation of displaced osteochondral fragment. At 8 years after surgery, the clinical outcome was excellent, and radiographs revealed congruence of the medial femoral condyle. The patient returned to sports activities. In massive and complex OCD lesions, individual techniques have limitations. Two or more techniques are needed to increase the rate of success. |
format | Online Article Text |
id | pubmed-4678248 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | The Korean Knee Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-46782482015-12-15 Concomitant Osteochondral Autograft Transplantation and Fixation of Osteochondral Fragment for Treatment of a Massive Osteochondritis Dissecans: A Report of 8-Year Follow-up Results Lee, Byung Ill Kim, Byoung Min Knee Surg Relat Res Case Report Numerous procedures exist to treat osteochondritis dissecans (OCD); however, it remains a topic of debate which procedure is most ideal. When restoring a massive osteochondral defect, the use of only one procedure may not always allow complete filling of the defect. This case report presents a massive OCD with displaced osteochondral fragment and loose body in the knee joint that occupied almost all of the weight bearing area of the medial femoral condyle and was treated with concomitant osteochondral autograft transplantation and fixation of displaced osteochondral fragment. To our knowledge, this is a rare report on OCD treated with concomitant osteochondral autograft transplantation and fixation of displaced osteochondral fragment. At 8 years after surgery, the clinical outcome was excellent, and radiographs revealed congruence of the medial femoral condyle. The patient returned to sports activities. In massive and complex OCD lesions, individual techniques have limitations. Two or more techniques are needed to increase the rate of success. The Korean Knee Society 2015-12 2015-12-01 /pmc/articles/PMC4678248/ /pubmed/26672950 http://dx.doi.org/10.5792/ksrr.2015.27.4.263 Text en Copyright © 2015 KOREAN KNEE SOCIETY http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Lee, Byung Ill Kim, Byoung Min Concomitant Osteochondral Autograft Transplantation and Fixation of Osteochondral Fragment for Treatment of a Massive Osteochondritis Dissecans: A Report of 8-Year Follow-up Results |
title | Concomitant Osteochondral Autograft Transplantation and Fixation of Osteochondral Fragment for Treatment of a Massive Osteochondritis Dissecans: A Report of 8-Year Follow-up Results |
title_full | Concomitant Osteochondral Autograft Transplantation and Fixation of Osteochondral Fragment for Treatment of a Massive Osteochondritis Dissecans: A Report of 8-Year Follow-up Results |
title_fullStr | Concomitant Osteochondral Autograft Transplantation and Fixation of Osteochondral Fragment for Treatment of a Massive Osteochondritis Dissecans: A Report of 8-Year Follow-up Results |
title_full_unstemmed | Concomitant Osteochondral Autograft Transplantation and Fixation of Osteochondral Fragment for Treatment of a Massive Osteochondritis Dissecans: A Report of 8-Year Follow-up Results |
title_short | Concomitant Osteochondral Autograft Transplantation and Fixation of Osteochondral Fragment for Treatment of a Massive Osteochondritis Dissecans: A Report of 8-Year Follow-up Results |
title_sort | concomitant osteochondral autograft transplantation and fixation of osteochondral fragment for treatment of a massive osteochondritis dissecans: a report of 8-year follow-up results |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4678248/ https://www.ncbi.nlm.nih.gov/pubmed/26672950 http://dx.doi.org/10.5792/ksrr.2015.27.4.263 |
work_keys_str_mv | AT leebyungill concomitantosteochondralautografttransplantationandfixationofosteochondralfragmentfortreatmentofamassiveosteochondritisdissecansareportof8yearfollowupresults AT kimbyoungmin concomitantosteochondralautografttransplantationandfixationofosteochondralfragmentfortreatmentofamassiveosteochondritisdissecansareportof8yearfollowupresults |