Knee Surg Relat Res.  2015 Dec;27(4):263-268. 10.5792/ksrr.2015.27.4.263.

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 BI
• Kim BM

• KMID: 2149681
• DOI: http://doi.org/10.5792/ksrr.2015.27.4.263

Abstract

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.

Keyword

Osteochondritis dissecans; Autologous transplantation; Internal fixation

MeSH Terms

Autografts*
Follow-Up Studies*
Humans
Knee Joint
Osteochondritis Dissecans*
Osteochondritis*
Sports
Transplantation, Autologous
Weight-Bearing