Osteochondritis dissecans of the femoral condyles - Long-term results of excision of the fragment

被引:94
|
作者
Anderson, AF
Pagnani, MJ
机构
[1] Lipscomb Clinic, Nashville, TN
[2] Lipscomb Clinic, Nashville, TN 37205, S. Thomas Med. Pl.
来源
AMERICAN JOURNAL OF SPORTS MEDICINE | 1997年 / 25卷 / 06期
关键词
D O I
10.1177/036354659702500617
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Nineteen patients with 20 osteochondritis dissecans lesions were evaluated between 2 and 20 years after excision of a partially detached (grade III) or loose (grade IV) fragment from the femoral condyles. Evaluation with the Hughston rating scale for osteochondritis dissecans revealed one excellent result, four good, four fair, six poor, and five failure results, Eleven patients had developed osteochondritis dissecans before skeletal maturity, In contrast to what has been stated in the literature, the results in these patients were no better than in those who developed osteochondritis dissecans as adults. The short-term results of excision are good, but the long-term results are extremely poor. Consequently, we recommend bone grafting and replacement of the fragment when it is technically possible because the long-term results are better than those after excision.
引用
收藏
页码:830 / 834
页数:5
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