Surgical treatment for osteochondritis dessicans of the knee

Zachary Winthrop, Gregory Pinkowsky, William Hennrikus

Research output: Contribution to journalReview article

11 Scopus citations

Abstract

Osteochondritis dissecans (OCD) of the knee is a disease of the subchondral bone with secondary injury to the overlying articular cartilage. OCD lesions are generally categorized as juvenile—growth plates open—or adult—growth plates closed. This maturity-based classification scheme has a prognostic value in that many juvenile OCD lesions will heal with conservative care while most symptomatic adult OCD lesions need surgical intervention. OCD can result in pain, knee joint effusions, loose body formation, and arthritis. Short-term treatment goals include pain and symptom resolution while the long-term goal is to minimize arthritis. Surgical options include debridement, drilling, microfracture, reduction and fixation, autograft osteochondral transplantation, autologous chondrocyte implantation, and allograft osteochondreal transplantation.

Original languageEnglish (US)
Pages (from-to)467-475
Number of pages9
JournalCurrent Reviews in Musculoskeletal Medicine
Volume8
Issue number4
DOIs
StatePublished - Sep 26 2015

    Fingerprint

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine

Cite this