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01-11-2012 | Original Paper

Osteochondral autograft transplantation for juvenile osteochondritis dissecans of the knee: a series of twelve cases

Authors: Ken Sasaki, Tomoyuki Matsumoto, Takehiko Matsushita, Seiji Kubo, Kazunari Ishida, Katsumasa Tei, Toshihiro Akisue, Masahiro Kurosaka, Ryosuke Kuroda

Published in: International Orthopaedics | Issue 11/2012

Abstract

Purpose

The purpose of this study was to evaluate the clinical outcomes of osteochondral autograft transplantation (OAT) for juvenile osteochondritis dissecans (JOCD) lesions of the knee, especially time to return to sports.

Methods

Twelve knee JOCD lesions with OCD grade 3 and 4 categorised by magnetic resonance imaging (MRI) were treated with OAT. Nine male and two female skeletally immature patients averaging 13.7 years old were included. The OCD lesions were assessed arthroscopically and then fixed in situ using multiple osteochondral plugs harvested under fluoroscopy from the distal femoral condyle without damaging the physis. International Cartilage Repair Society (ICRS) score and Lysholm score were assessed pre- and postoperatively.

Results

After a mean follow-up of 26.2 ± 15.1 months, the International Knee Documentation Committee (IKDC) subjective score significantly improved (p < 0.01). According to the IKDC score, objective assessment showed that ten of 12 (83 %) had excellent results (score: A) after OAT and significantly improved (p < 0.01). Based on ICRS criteria, results were satisfactory in all patients. No patients experienced complications at the graft harvest site. All patients returned to their previous level of athletic activity at an average of 5.7 months after the surgery.

Conclusions

OAT for JOCD of the knee provided satisfactory results in all patients at a mean follow-up of 26.2 months.

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Title: Osteochondral autograft transplantation for juvenile osteochondritis dissecans of the knee: a series of twelve cases
Authors: Ken Sasaki
Tomoyuki Matsumoto
Takehiko Matsushita
Seiji Kubo
Kazunari Ishida
Katsumasa Tei
Toshihiro Akisue
Masahiro Kurosaka
Ryosuke Kuroda
Publication date: 01-11-2012
Publisher: Springer-Verlag
Published in: International Orthopaedics / Issue 11/2012
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-012-1648-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Osteochondral autograft transplantation for juvenile osteochondritis dissecans of the knee: a series of twelve cases

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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