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Wiener klinische Wochenschrift
Erschienen in:

01.10.2012 | original article

Long term results of operative treatment of knee osteochondritis dissecans

verfasst von: Samo K. Fokter, MD, PhD, Andrej Strahovnik, MD, MSc, Darjan Kos, MD, Andraž Dovnik, MD, Nina Fokter, MD

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 19-20/2012

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Summary Purpose Methods Results Conclusions

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.
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.
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.
We recommend aggressive attempts to preserve articular cartilage in OCD.
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Metadaten
Titel
Long term results of operative treatment of knee osteochondritis dissecans
verfasst von
Samo K. Fokter, MD, PhD
Andrej Strahovnik, MD, MSc
Darjan Kos, MD
Andraž Dovnik, MD
Nina Fokter, MD
Publikationsdatum
01.10.2012
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 19-20/2012
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-012-0230-1

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