Avtor/Urednik     Fokter, Samo K.; Strahovnik, Andrej; Kos, Darjan; Dovnik, Andraž; Fokter Dovnik, Nina
Naslov     Long term results of operative treatment of knee osteochondritis dissecans
Prevedeni naslov     Langzeitergebnisse der operativen Behandlung der Osteochondritis dissecans am Kniegelenk
Tip     članek
Vol. in št.     Letnik 124, št. 19/20
Leto izdaje     2012
Obseg     str. 699-703
ISSN     0043-5325 - Wiener klinische Wochenschrift
Jezik     eng
Abstrakt     Purpose. This retrospective study was designed to evaluate the hypothesis that open reduction internal fixation (ORIF) of an unstable osteochondritis dissecans (OCD) lesion results in a high percentage of acceptable outcomes at long-term follow-up. Methods. Eight patients who had been treated with ORIF for unstable knee OCD lesions were identified. Long-term outcomes were assessed with a Subjective Knee Evaluation Form and Knee Examination Form of the International Knee Documentation Committee (IKDC 2000) and an OCD specific Hughston rating scale. Results. All lesions were healed and stable to arthroscopic probing at 3 months. At the average follow-up of 14.8 years (range 12-21 years), the mean IKDC subjective score was 80.9. In IKDC examination form, six patients reached group A (normal) and two patients reached groups B (near normal) and C (abnormal), respectively. According to Hughston criteria, three patients were rated excellent, three good, one fair, and one poor. Conclusions. We recommend aggressive attempts to preserve articular cartilage in OCD.
Deskriptorji     Osteochondritis Dissecans
Disekantni osteohondritis
Knee
Koleno
Fracture Fixation
Zlom, fiksacija
Treatment Outcome
Izid zdravljenja
Therapy
Zdravljenje