Internal fixation for osteochondritis dissecans lesions of the knee in patients with physeal closure
Yıl: 2021 Cilt: 55 Sayı: 3 Sayfa Aralığı: 201 - 207 Metin Dili: İngilizce DOI: 10.5152/j.aott.2021.19307 İndeks Tarihi: 29-09-2021
Internal fixation for osteochondritis dissecans lesions of the knee in patients with physeal closure
Öz: Objective: The aim of this study was to present mid-term functional and radiological outcomes of patients with physeal closurewho underwent arthroscopic or open internal fixation with headless cannulated compressive screws due to unstableOsteochondritis Dissecans (OCD) lesions of the knee.Methods: With a diagnosis of unstable OCD of the knee, ten consecutive patients (seven male, three female) with physeal closure(mean age: 23 years; range: 17–40), underwent arthroscopic or open internal fixation with headless cannulated compressivescrews. The patients were retrospectively reviewed based on functional and radiological data, with a mean follow-up of 42months (range: 27–61). The average size of the defects was 4.2 cm2 with a range from 1.7 to 8 cm2 . The study protocol consisted ofthe Range of Motion (ROM), Tegner–Lysholm Score, Modified Cincinnati Rating System Questionnaire, Short Form-12 (SF-12)in addition to the plain radiograph and Computed Tomography (CT). Any development of arthrosis was assessed at the finalfollow-up according to the Internation Knee Documention Committee score (IKDC).Results: At the final follow-up, control plain radiographs and CT showed complete union of the fragments in nine patients;however, CT imaging illustrated nonunion of the fragment in one patient. The main Tegner−Lysholm Score increased from 59(range: 11–63) preoperatively to 97 (range: 88–100) at the final follow-up. Modified Cincinnati Rating System Questionnaire andIKDC score were 97 (range: 93–100) and 96 (range: 92–100), respectively, at the final follow-up. In addition, in terms of SF-12, themean physical component score was 47.5 (range: 42–49), and the mean mental component score was 57.25 (range: 48–63).Conclusion: In patients with physeal closure, internal fixation using cannulated compressive screws may be an influentialprocedure for the OCD lesions of the knee ranging in size from medium to large.Level of Evidence: Level IV, Therapeutic Study
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik
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APA | demirel m, Polat G, Ersen A, Aşık M, Kılıçoğlu Ö (2021). Internal fixation for osteochondritis dissecans lesions of the knee in patients with physeal closure. , 201 - 207. 10.5152/j.aott.2021.19307 |
Chicago | demirel mehmet,Polat Gökhan,Ersen Ali,Aşık Mehmet,Kılıçoğlu Önder İsmet Internal fixation for osteochondritis dissecans lesions of the knee in patients with physeal closure. (2021): 201 - 207. 10.5152/j.aott.2021.19307 |
MLA | demirel mehmet,Polat Gökhan,Ersen Ali,Aşık Mehmet,Kılıçoğlu Önder İsmet Internal fixation for osteochondritis dissecans lesions of the knee in patients with physeal closure. , 2021, ss.201 - 207. 10.5152/j.aott.2021.19307 |
AMA | demirel m,Polat G,Ersen A,Aşık M,Kılıçoğlu Ö Internal fixation for osteochondritis dissecans lesions of the knee in patients with physeal closure. . 2021; 201 - 207. 10.5152/j.aott.2021.19307 |
Vancouver | demirel m,Polat G,Ersen A,Aşık M,Kılıçoğlu Ö Internal fixation for osteochondritis dissecans lesions of the knee in patients with physeal closure. . 2021; 201 - 207. 10.5152/j.aott.2021.19307 |
IEEE | demirel m,Polat G,Ersen A,Aşık M,Kılıçoğlu Ö "Internal fixation for osteochondritis dissecans lesions of the knee in patients with physeal closure." , ss.201 - 207, 2021. 10.5152/j.aott.2021.19307 |
ISNAD | demirel, mehmet vd. "Internal fixation for osteochondritis dissecans lesions of the knee in patients with physeal closure". (2021), 201-207. https://doi.org/10.5152/j.aott.2021.19307 |
APA | demirel m, Polat G, Ersen A, Aşık M, Kılıçoğlu Ö (2021). Internal fixation for osteochondritis dissecans lesions of the knee in patients with physeal closure. Acta Orthopaedica et Traumatologica Turcica, 55(3), 201 - 207. 10.5152/j.aott.2021.19307 |
Chicago | demirel mehmet,Polat Gökhan,Ersen Ali,Aşık Mehmet,Kılıçoğlu Önder İsmet Internal fixation for osteochondritis dissecans lesions of the knee in patients with physeal closure. Acta Orthopaedica et Traumatologica Turcica 55, no.3 (2021): 201 - 207. 10.5152/j.aott.2021.19307 |
MLA | demirel mehmet,Polat Gökhan,Ersen Ali,Aşık Mehmet,Kılıçoğlu Önder İsmet Internal fixation for osteochondritis dissecans lesions of the knee in patients with physeal closure. Acta Orthopaedica et Traumatologica Turcica, vol.55, no.3, 2021, ss.201 - 207. 10.5152/j.aott.2021.19307 |
AMA | demirel m,Polat G,Ersen A,Aşık M,Kılıçoğlu Ö Internal fixation for osteochondritis dissecans lesions of the knee in patients with physeal closure. Acta Orthopaedica et Traumatologica Turcica. 2021; 55(3): 201 - 207. 10.5152/j.aott.2021.19307 |
Vancouver | demirel m,Polat G,Ersen A,Aşık M,Kılıçoğlu Ö Internal fixation for osteochondritis dissecans lesions of the knee in patients with physeal closure. Acta Orthopaedica et Traumatologica Turcica. 2021; 55(3): 201 - 207. 10.5152/j.aott.2021.19307 |
IEEE | demirel m,Polat G,Ersen A,Aşık M,Kılıçoğlu Ö "Internal fixation for osteochondritis dissecans lesions of the knee in patients with physeal closure." Acta Orthopaedica et Traumatologica Turcica, 55, ss.201 - 207, 2021. 10.5152/j.aott.2021.19307 |
ISNAD | demirel, mehmet vd. "Internal fixation for osteochondritis dissecans lesions of the knee in patients with physeal closure". Acta Orthopaedica et Traumatologica Turcica 55/3 (2021), 201-207. https://doi.org/10.5152/j.aott.2021.19307 |