RT Journal Article
T1 Unestable knee osteochondritis dissecans: Arthroscopic fixation with bio-absorbable device
A1 Bogallo, José Manuel
A1 Godino Izquierdo, Manuel
A1 Dalla-Rosa, Jaime
A1 Ramos González, Laura
A1 Arjona Diaz, Montserrat
A1 Guerado-Parra, Enrique
K1 Osteocondritis disecante
AB IntroductionKnee Ostheochondritis Dissecans is an osteochondral disease, whose treatment is still debated. The purpose this study was to analyze the patients attached with bioabsorbable nail, assisted by arthroscopy.Material and methodAnalysis was performed using median and interquartile range (P25–P75), with a follow-up of 9 patients (10 knees) operated for stage III osteochondral lesions. After a minimum of 12 months, the KOOS, IKDC, satisfaction questionnaires were evaluated and a MR control was performed.ResultsBone healing was observed in 80% of patients in the first year, with a delay in union in 20%. The median for age was 15 years. The average follow-up was 5′93 years. All cases were located in the internal condyle. The OCD lesions did not show comminution or necrosis. The 40% of stable lesions, according to preoperative MR, were unestable in arthroscopy and it were attached with internal nail. Two groups of osteochondral lesions were differentiated: juvenile OCD (60%) and adult OCD (40%); all of them were stage III lesions. IKDC questionnaire results were an improvement of 29′5 (22′25, 37′52). In the KOOS questionnaire, an improvement was obtained in symptoms of 18′07, in pain of 29′12, in daily living 25′53, in function (sports, recreational activities) of 35 and in quality of life of 34′42.ConclusionsThe bioabsorbable nail is a valid, reproducible option for unestable entire lesions, with an improvement in function, quality of life, and with a low rate of complications.
PB Elsevier
YR 2021
FD 2021-11
LK https://hdl.handle.net/10630/35546
UL https://hdl.handle.net/10630/35546
LA spa
NO Bogallo JM, Godino Izquierdo M, Dalla-Rosa J, Ramos González L, Arjona Diaz M, Guerado E. Osteocondritis disecante inestable de rodilla: fijación artroscópica con implante bioabsorbible. Rev Esp Cir Ortop Traumatol. 2021;65:407–415
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 20 ene 2026