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Arthroscopic diagnosis and treatment of the osteochondritis dissecans of the knee joint

Mahmut Nedim Doral, Emre Acaroğlu, Reha N. Tandoğan

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Abstract

The results of treatment of osteochondritis dissecans of the knee joint in eight patients are evaluated in a prospective study. Arthroscopic in-situ forage was performed in 4 grade 2 lesions, arthroscopic curettage and fixation of the fragment via arthrotomy in one grade 3 lesion and excision of the fragment and forage of the crater in 3 grade 4 lesions. The results were evaluated according to Hughston's criteria and six excellent, one good and one fair result were obtained. The fair result is thought to be due to the accompanying ACL laxity in the patient. We concluded that our arthroscopic treatment protocol in 0. D. of the knee joint yields satisfactory results, especially in patients without any accompanying lesions of the knee joint.

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What this paper is about

The results of treatment of osteochondritis dissecans of the knee joint in eight patients are evaluated in a prospective study. Arthroscopic in-situ forage was performed in 4 grade 2 lesions, arthroscopic curettage and fixation of the fragment via arthrotomy in one grade 3 lesion and excision of the fragment and forage of the crater in 3 grade 4 lesions. The results were evaluated according to Hughston's criteria and six excellent, one good and one fair result were obtained. The fair result is thought to be due to the accompanying ACL laxity in the patient. We concluded that our arthroscopic treatment protocol in 0. D. of the knee joint yields satisfactory results, especially in patients without any accompanying lesions of the knee joint.

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Available abstract

The results of treatment of osteochondritis dissecans of the knee joint in eight patients are evaluated in a prospective study. Arthroscopic in-situ forage was performed in 4 grade 2 lesions, arthroscopic curettage and fixation of the fragment via arthrotomy in one grade 3 lesion and excision of the fragment and forage of the crater in 3 grade 4 lesions. The results were evaluated according to Hughston's criteria and six excellent, one good and one fair result were obtained. The fair result is thought to be due to the accompanying ACL laxity in the patient. We concluded that our arthroscopic treatment protocol in 0. D. of the knee joint yields satisfactory results, especially in patients without any accompanying lesions of the knee joint.

Key concepts: Arthrotomy, Medicine, Osteochondritis dissecans, Arthroscopy, Knee Joint, Surgery, Lesion, Curettage

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