[논문]Midterm Results of Surgical Treatment for Adult Osteochondritis Dissecans of the Knee

Pascual-Garrido, Cecilia; Friel, Nicole A.; Kirk, Spencer S.; McNickle, Allison G.; Bach, Bernard R.; Bush-Joseph, Charles A.; Verma, Nikhil N.; Cole, Brian J.

doi:10.1177/0363546509350833

Midterm Results of Surgical Treatment for Adult Osteochondritis Dissecans of the Knee

The American journal of sports medicine, v.37 no.1 suppl., 2009년, pp.125 - 130

Pascual-Garrido, Cecilia (Rush University Medical Center, Chicago, Illinois) , Friel, Nicole A. (Rush University Medical Center, Chicago, Illinois) , Kirk, Spencer S. (Rush University Medical Center, Chicago, Illinois) , McNickle, Allison G. (Rush University Medical Center, Chicago, Illinois) , Bach, Bernard R. (Rush University Medical Center, Chicago, Illinois) , Bush-Joseph, Charles A. (Rush University Medical Center, Chicago, Illinois) , Verma, Nikhil N. (Rush University Medical Center, Chicago, Illinois) , Cole, Brian J. (Rush University Medical Center, Chicago, Illinois)

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BackgroundDetermination of appropriate treatment options for adult osteochondritis dissecans is difficult, as most published papers on surgical osteochondritis dissecans treatment report outcomes in a population consisting of both adult and juvenile patients.PurposeThis study examines the outcomes of surgical procedures in patients with adult osteochondritis dissecans.Study DesignCase series; Level of evidence, 4.MethodsThe cohort included 46 adult patients (48 knees) with adult osteochondritis dissecans of the knee who had undergone surgical treatment (debridement, drilling, loose-body removal, arthroscopic reduction and internal fixation, microfracture, osteo-chondral allograft, or autologous chondrocyte implantation). The average patient age was 34 6 9.5 years (range, 20-49) and patients were followed for 4.0 6 1.8 years. The mean defect size was 4.5 6 2.7 cm2. Outcomes were assessed via clinical assessment and established outcome scales, including the Lysholm, International Knee Documentation Committee (IKDC), Knee Injury and Osteoarthritis Outcome Score (KOOS), Tegner, Cincinnati, and Short Form-12.ResultsStatistically significant improvement (P<05) was noted in all outcome scales, including Noyes, Tegner, Lysholm, IKDC, KOOS (subdivided into 5 categories including Pain, Symptoms, Activities of Daily Living, Sport, and Quality of Life), Short Form-12 Physical, and Short Form-12 Mental. Seven knees (14%) had clinical failure of the initial treatment and underwent a revision procedure at a mean follow-up of 14 months. Patients treated with arthroscopic reduction and internal fixation and loose-body removal demonstrated a statistically higher postoperative percentage score increase for the KOOS Sport (P 5 .008) and KOOS Quality of Life (P 5 .03) categories than those treated with an osteochondral allograft.ConclusionPatients with adult osteochondritis dissecans of the knee, treated with surgical cartilage procedures, show durable function and symptomatic improvement at a mean 4.0 years of follow-up. Patients treated with arthroscopic reduction and internal fixation and loose-body removal demonstrated a greater improvement in outcome scores than those treated with osteochon-dral allograft.

참고문헌 (25)

Anderson, Allen F., Pagnani, Michael J.. Osteochondritis Dissecans of the Femoral Condyles : Long-term Results of Excision of the Fragment. The American journal of sports medicine, vol.25, no.6, 830-834.

상세보기
Cahill, Bernard R., Phillips, Mark R., Navarro, Ronald. The results of conservative management of juvenile osteochondritis dissecans using joint scintigraphy : A prospective study. The American journal of sports medicine, vol.17, no.5, 601-606.

상세보기
Orthop Rev. Denoncourt PM 652 15 10 1986

상세보기
Donaldson, Laurie D., Wojtys, Edward M.. Extraarticular Drilling for Stable Osteochondritis Dissecans in the Skeletally Immature Knee. Journal of pediatric orthopedics, vol.28, no.8, 831-835.

상세보기
Emmerson, Bryan C., GU00F6;rtz, Simon, Jamali, Amir A., Chung, Christine, Amiel, David, Bugbee, William D.. Fresh Osteochondral Allografting in the Treatment of Osteochondritis Dissecans of the Femoral Condyle. The American journal of sports medicine, vol.35, no.6, 907-914.

상세보기
Ewing, J.W., Voto, S.J.. Arthroscopic surgical management of osteochondritis dissecans of the knee. Arthroscopy : the journal of arthroscopic & related surgery, vol.4, no.1, 37-40.

상세보기
Clin Orthop Relat Res. Garrett JC 33 303 1994 10.1097/00003086-199406000-00005

상세보기
Internal Fixation of Unstable Cahill Type-2C Osteochondritis Dissecans Lesions of the Knee in Adolescent Patients. Orthopedics, vol.30, no.6, 487-490.

상세보기
Hambly, Karen, Griva, Konstadina. IKDC or KOOS? Which Measures Symptoms and Disabilities Most Important to Postoperative Articular Cartilage Repair Patients?. The American journal of sports medicine, vol.36, no.9, 1695-1704.

상세보기
Kocher, Mininder S., Czarnecki, Joseph J., Andersen, Jason S., Micheli, Lyle J.. Internal Fixation of Juvenile Osteochondritis Dissecans Lesions of the Knee. The American journal of sports medicine, vol.35, no.5, 712-718.

상세보기
Lebolt, James R., Wall, Eric J.. Retroarticular Drilling and Bone Grafting of Juvenile Osteochondritis Dissecans of the Knee. Arthroscopy : the journal of arthroscopic & related surgery, vol.23, no.7, 794.e1-794.e4.

상세보기
Linden, B. Osteochondritis dissecans of the femoral condyles : a long-term follow-up study. Journal of bone and joint surgery : American volume, vol.59, no.6, 769-776.

상세보기
Magnussen, Robert A., Carey, James L., Spindler, Kurt P.. Does Operative Fixation of an Osteochondritis Dissecans Loose Body Result in Healing and Long-Term Maintenance of Knee Function?. The American journal of sports medicine, vol.37, no.4, 754-759.

상세보기
Makino, Arturo, Muscolo, D. Luis, Puigdevall, Miguel, Costa-Paz, Matias, Ayerza, Miguel. Arthroscopic Fixation of Osteochondritis Dissecans of the Knee : Clinical, Magnetic Resonance Imaging, and Arthroscopic Follow-up. The American journal of sports medicine, vol.33, no.10, 1499-1504.

상세보기
Marx, Robert G., Stump, Timothy J., Jones, Edward C., Wickiewicz, Thomas L., Warren, Russell F.. Development and Evaluation of an Activity Rating Scale for Disorders of the Knee. The American journal of sports medicine, vol.29, no.2, 213-218.

상세보기
McCulloch, Patrick C., Kang, Richard W., Sobhy, Mohamed H., Hayden, Jennifer K., Cole, Brian J.. Prospective Evaluation of Prolonged Fresh Osteochondral Allograft Transplantation of the Femoral Condyle : Minimum 2-Year Follow-Up. The American journal of sports medicine, vol.35, no.3, 411-420.

상세보기
Miniaci, Anthony, Tytherleigh-Strong, Graham. Fixation of Unstable Osteochondritis Dissecans Lesions of the Knee Using Arthroscopic Autogenous Osteochondral Grafting (Mosaicplasty). Arthroscopy : the journal of arthroscopic & related surgery, vol.23, no.8, 845-851.

상세보기
Nakagawa, Takumi, Kurosawa, Hisashi, Ikeda, Hiroshi, Nozawa, Masahiko, Kawakami, Akira. Internal fixation for osteochondritis dissecans of the knee. Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, vol.13, no.4, 317-322.

상세보기
Pascual-Garrido, Cecilia, McNickle, Allison G., Cole, Brian J.. Surgical Treatment Options for Osteochondritis Dissecans of the Knee. Sports health, vol.1, no.4, 326-334.

상세보기
PETERSON, LARS, MINAS, TOM, BRITTBERG, MATS, LINDAHL, ANDERS. TREATMENT OF OSTEOCHONDRITIS DISSECANS OF THE KNEE WITH AUTOLOGOUS CHONDROCYTE TRANSPLANTATION : RESULTS AT TWO TO TEN YEARS. Journal of bone and joint surgery : American volume, vol.85, no.suppl2, 17-24.

상세보기
Outcomes Manag Nurs Pract. Resnick B 161 5 4 2001
Roos, E. M., Roos, H. P., Ekdahl, C., Lohmander, L. S.. Knee injury and Osteoarthritis Outcome Score (KOOS) ‐ validation of a Swedish version. Scandinavian journal of medicine & science in sports, vol.8, no.6, 439-448.

상세보기
Steadman, J.Richard, Briggs, Karen K., Rodrigo, Juan J., Kocher, Mininder S., Gill, Thomas J., Rodkey, William G.. Outcomes of microfracture for traumatic chondral defects of the knee: Average 11-year follow-up. Arthroscopy : the journal of arthroscopic & related surgery, vol.19, no.5, 477-484.

상세보기
Walsh, Stewart J, Boyle, Matthew J, Morganti, Vicki. Large Osteochondral Fractures of the Lateral Femoral Condyle in the Adolescent: Outcome of Bioabsorbable Pin Fixation :. Journal of bone and joint surgery : American volume, vol.90, no.7, 1473-1478.

상세보기
Wright, Rick W, McLean, Matthew, Matava, Matthew J, Shively, Robert A. Osteochondritis Dissecans of the Knee: Long-Term Results of Excision of the Fragment. Clinical orthopaedics and related research, vol.424, 239-243.

상세보기

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Midterm Results of Surgical Treatment for Adult Osteochondritis Dissecans of the Knee

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