scholarly journals Open Treatment for Unstable Osteochondritis Dissecans of the Knee: Autologous Bone Grafting and Bioabsorbable Fixation

2020 ◽  
Vol 9 (11) ◽  
pp. e1779-e1784
Author(s):  
Jace J. Heiden ◽  
Mark J. Amirtharaj ◽  
Matthew A. Tao
Keyword(s):  
Osteochondritis Dissecans ◽  
Bone Grafting ◽  
Autologous Bone Grafting ◽  
Bioabsorbable Fixation ◽  
Open Treatment ◽  
Autologous Bone

scholarly journals Re-operation rate after surgical treatment of osteochondral lesions of the talus in paediatric and adolescent patients

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Daniel Körner ◽  
Christoph E. Gonser ◽  
Stefan Döbele ◽  
Christian Konrads ◽  
Fabian Springer ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Bone Grafting ◽  
Cartilage Damage ◽  
Osteochondral Lesions ◽  
Retrograde Drilling ◽  
Autologous Bone Grafting ◽  
Operation Rate ◽  
Group A ◽  
Autologous Bone ◽  
Group B

Abstract Background The aim of this study is to analyse the re-operation rate after surgical treatment of osteochondral lesions of the talus (OCLTs) in children and adolescents. Methods Between 2009 and 2019, 27 consecutive patients with a solitary OCLT (10 male, 17 female; mean age 16.9 ± 2.2 years; 8 idiopathic vs. 19 traumatic) received primary operative treatment (arthroscopy + bone marrow stimulation [BMS], n = 8; arthroscopy + retrograde drilling, n = 8; autologous chondrocyte implantation [ACI]/autologous bone grafting, n = 9; arthroscopy + BMS + retrograde drilling; n = 1; flake fixation, n = 1). Seventeen OCLTs were located at the medial and ten at the lateral talus. ‘Re-operation’ as the outcome measure was evaluated after a median follow-up of 42 months (range 6–117 months). Patients were further subdivided into groups A (re-operation, n = 7) and B (no re-operation, n = 20). Groups A and B were compared with respect to epidemiological, lesion- and therapy-related variables. Results Seven of 27 patients needed a re-operation (re-operation rate 25.9% after a median interval of 31 months [range 13–61 months]). The following operative techniques were initially used in these seven patients: arthroscopy + BMS n = 2, arthroscopy + retrograde drilling n = 4, ACI + autologous bone grafting n = 1. A comparison of group A with group B revealed different OCLT characteristics between both groups. The intraoperative findings according to the International Cartilage Repair Society (ICRS) classification revealed significantly more advanced cartilage damage in group B than in group A (p = 0.001). Conclusions We detected a re-operation rate of 25.9% after primary surgical OCLT treatment. Patients with re-operation had significantly lower ICRS classification stages compared to patients without re-operation.

scholarly journals Olecranon Apophyseal Nonunion in Adolescent Judo Players: A Report of Two Cases

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Kohei Yamaura ◽  
Yutaka Mifune ◽  
Atsuyuki Inui ◽  
Hanako Nishimoto ◽  
Yasuhiro Ueda ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Bone Grafting ◽  
Case Series ◽  
Radiographic Evidence ◽  
Level Of Evidence ◽  
Old Patients ◽  
Elbow Injury ◽  
Autologous Bone Grafting ◽  
Judo Athletes ◽  
Autologous Bone

Olecranon apophyseal nonunion is an elbow injury from overuse that affects adolescent athletes such as baseball pitchers who participate in overhead throwing sports. However, such injury is rare in collision sports. Here, we report two patients with this condition who are Judo athletes. The purpose of this report was to describe three elbows with olecranon apophyseal nonunion in two adolescent patients participating in Judo. This is a case series; the level of evidence is 4. Two 15-year-old patients were evaluated. One suffered from unilateral and the other from bilateral chronic posterior elbow pain. They were diagnosed with olecranon apophyseal nonunion, which was treated using internal fixation and bone grafting. Radiographic evidence of the apophyseal union was observed four months postsurgery. Two elbows were treated with tension band wiring, then they underwent hardware removal six months postsurgery. Both patients returned to their previous levels of activities six months postsurgery. Internal fixation using autologous bone grafting was a useful treatment for these Judo athletes with olecranon apophyseal nonunion.

scholarly journals Comparison of Puddu osteotomy with or without autologous bone grafting: a prospective clinical trial

2017 ◽  
Vol 52 (5) ◽  
pp. 555-560
Author(s):  
Marcus Ceregatti Passarelli ◽  
José Roberto Tonelli Filho ◽  
Felipe Augusto Mendes Brizzi ◽  
Gustavo Constantino de Campos ◽  
Alessandro Rozim Zorzi ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Bone Grafting ◽  
Prospective Clinical Trial ◽  
Autologous Bone Grafting ◽  
Autologous Bone

Outcome of autologous bone grafting to osteochondral lesion of the talus with subchondral cyst

2017 ◽  
Vol 23 ◽  
pp. 114 ◽  
Author(s):  
M. Sawa ◽  
T. Nakasa ◽  
M. Yoshikawa ◽  
Y. Tsuyuguchi ◽  
N. Adachi
Keyword(s):  
Bone Grafting ◽  
Osteochondral Lesion ◽  
Autologous Bone Grafting ◽  
Subchondral Cyst ◽  
Autologous Bone
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