Arthroscopic Debridement and Fixation of Osteochondritis Dissecans Lesions of the Medial Femoral Condyle
Unstable osteochondritis dissecans lesions of the medial femoral condyle have classically been treated with open reduction and fixation under direct visualization through an open arthrotomy. Given the value of avoiding open arthrotomies, we present an arthroscopic approach for lesion elevation, debr...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-10-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628724002287 |
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| author | Charles L. Holliday, M.D. Xuankang Pan, B.S. Adam J. Tagliero, M.D. Daniel B.F. Saris, M.D., Ph.D. Todd A. Milbrandt, M.D. Aaron J. Krych, M.D. Mario Hevesi, M.D., Ph.D. |
| author_facet | Charles L. Holliday, M.D. Xuankang Pan, B.S. Adam J. Tagliero, M.D. Daniel B.F. Saris, M.D., Ph.D. Todd A. Milbrandt, M.D. Aaron J. Krych, M.D. Mario Hevesi, M.D., Ph.D. |
| author_sort | Charles L. Holliday, M.D. |
| collection | DOAJ |
| description | Unstable osteochondritis dissecans lesions of the medial femoral condyle have classically been treated with open reduction and fixation under direct visualization through an open arthrotomy. Given the value of avoiding open arthrotomies, we present an arthroscopic approach for lesion elevation, debridement, and fixation. The lesion is first elevated using an arthroscopic elevator, leaving a laterally based osseous hinge. Once elevated, fibrous debris is debrided from the base of the lesion. Subsequently, the fragment is reduced, and percutaneous transpatellar instrumentation is used for fixation. The use of this technique allows for excellent mobilization, debridement, and fixation of the osteochondritis dissecans lesion while minimizing violation of periarticular soft tissues. |
| format | Article |
| id | doaj-art-7177ed87f83d418c8de2b4079aa35c08 |
| institution | OA Journals |
| issn | 2212-6287 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj-art-7177ed87f83d418c8de2b4079aa35c082025-08-20T01:50:45ZengElsevierArthroscopy Techniques2212-62872024-10-01131010311110.1016/j.eats.2024.103111Arthroscopic Debridement and Fixation of Osteochondritis Dissecans Lesions of the Medial Femoral CondyleCharles L. Holliday, M.D.0Xuankang Pan, B.S.1Adam J. Tagliero, M.D.2Daniel B.F. Saris, M.D., Ph.D.3Todd A. Milbrandt, M.D.4Aaron J. Krych, M.D.5Mario Hevesi, M.D., Ph.D.6From the Department or Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.From the Department or Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.From the Department or Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.From the Department or Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.From the Department or Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.From the Department or Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.Address correspondence to Mario Hevesi M.D., Ph.D., Mayo Clinic, 200 First Street SW, Rochester, MN 55905, U.S.A.; From the Department or Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.Unstable osteochondritis dissecans lesions of the medial femoral condyle have classically been treated with open reduction and fixation under direct visualization through an open arthrotomy. Given the value of avoiding open arthrotomies, we present an arthroscopic approach for lesion elevation, debridement, and fixation. The lesion is first elevated using an arthroscopic elevator, leaving a laterally based osseous hinge. Once elevated, fibrous debris is debrided from the base of the lesion. Subsequently, the fragment is reduced, and percutaneous transpatellar instrumentation is used for fixation. The use of this technique allows for excellent mobilization, debridement, and fixation of the osteochondritis dissecans lesion while minimizing violation of periarticular soft tissues.http://www.sciencedirect.com/science/article/pii/S2212628724002287 |
| spellingShingle | Charles L. Holliday, M.D. Xuankang Pan, B.S. Adam J. Tagliero, M.D. Daniel B.F. Saris, M.D., Ph.D. Todd A. Milbrandt, M.D. Aaron J. Krych, M.D. Mario Hevesi, M.D., Ph.D. Arthroscopic Debridement and Fixation of Osteochondritis Dissecans Lesions of the Medial Femoral Condyle Arthroscopy Techniques |
| title | Arthroscopic Debridement and Fixation of Osteochondritis Dissecans Lesions of the Medial Femoral Condyle |
| title_full | Arthroscopic Debridement and Fixation of Osteochondritis Dissecans Lesions of the Medial Femoral Condyle |
| title_fullStr | Arthroscopic Debridement and Fixation of Osteochondritis Dissecans Lesions of the Medial Femoral Condyle |
| title_full_unstemmed | Arthroscopic Debridement and Fixation of Osteochondritis Dissecans Lesions of the Medial Femoral Condyle |
| title_short | Arthroscopic Debridement and Fixation of Osteochondritis Dissecans Lesions of the Medial Femoral Condyle |
| title_sort | arthroscopic debridement and fixation of osteochondritis dissecans lesions of the medial femoral condyle |
| url | http://www.sciencedirect.com/science/article/pii/S2212628724002287 |
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