Author/Editor		Fokter, Samo K.; Strahovnik, Andrej; Kos, Darjan; Dovnik, Andraž; Fokter Dovnik, Nina
Title		Long term results of operative treatment of knee osteochondritis dissecans
Translated title		Langzeitergebnisse der operativen Behandlung der Osteochondritis dissecans am Kniegelenk
Type		članek
Vol. and No.		Letnik 124, št. 19/20
Publication year		2012
Volume		str. 699-703
ISSN		0043-5325 - Wiener klinische Wochenschrift
Language		eng
Abstract		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.
Descriptors		Osteochondritis Dissecans Disekantni osteohondritis Knee Koleno Fracture Fixation Zlom, fiksacija Treatment Outcome Izid zdravljenja Therapy Zdravljenje