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